by Haj Aoki, Division Manager & Eric McClain, Lead MSA Analyst As featured last week on workcompwire.com, the Department of Industrial Relations (DIR) and the Division of Workers’ Compensation (DWC) recently issued their annual report on the Independent Medical Review (IMR) program which analyzed data from 2020. IMR is the medical dispute resolution process that […] Continue
by Crissy Sherman, CMS Operations Manager Centers for Medicare and Medicaid Services (CMS) released a revised Workers’ Compensation Medicare Set-Aside (WCMSA) Reference Guide Version 3.3 (dated April 19, 2021) late last week. Changes are detailed in Section 1.1 of the updated guide and include the following highlights, which may impact your claim management: Instructions for […] Continue
by Charlotte Chovanec, RN, BSN, MHA, Clinical Director & Eric McClain, Lead MSA Analyst While every year new and innovative treatments are introduced to the medical community to enhance the quality of patients’ lives, seldom do we see these treatment options crossover to Worker’s Compensation as quickly. In the area of cardiac treatment, we are […] Continue
by Frank Fairchok, Vice President of Medicare Reporting Services This week, CMS released an updated form to help Non-Group Health Plan (NGHP) Responsible Reporting Entities (RRE) with model language around the collection of Social Security Numbers (SSN) or Medicare Beneficiary Identifiers (MBI). The images below highlight the changes (click each image for a close-up view). […] Continue
by Frank Fairchok, Vice President of Medicare Reporting Services and AnnaMarie Sorrento, Programs and Projects Manager Last week, the Centers for Medicare & Medicaid Services (CMS) released Version 6.3 of the Non-Group Health Plan (NGHP) MMSEA Section 111 User Guide, a key resource for addressing Section 111 reporting requirements as mandated by Section 111 of […] Continue