The Official Medicare Set Aside Blog And Information Resource

CMS Town Hall Hints at Future Update and Answers Industry Questions

CMS, CRC, Mandatory Insurer Reporting, Medicare Set-Aside Blog on April 6, 2021
Posted by Shannon Flynn

by Frank Fairchok, Vice President of Medicare Reporting Services As previewed in our blog on February 26, the Centers for Medicare & Medicaid Services (CMS) hosted a town hall meeting that included staff from both the Benefits Coordination & Recovery Center (BCRC) and Commercial Repayment Center (CRC) last Thursday, April 1, 2021.  While the session […] Continue

MSA Pearls: Comorbidities, Looking Closely to Get the Big Picture

CMS, Medicare Set-Aside Blog, Medicare Set-Asides, WCRC on March 8, 2021
Posted by Noel D. Sturtz, Client Program Manager

We are all aware that there are a number of steps in the WCMSA submission process. According to the latest WCMSA Reference Guide (Version 3.2; Section 9.4.3), these steps include the WCRC team reviewing “all the submitted records…taking into consideration the claimant’s specific condition [and] other comorbidities…”  Potential Impact of Comorbidities on MSAs Comorbidities are […] Continue

CMS to Begin Using 2018 Life Table

CMS, Medicare Set-Aside Blog, MSAs, WCRC on March 4, 2021
Posted by Shannon Flynn

Starting March 27, 2021, the Centers for Medicare and Medicaid Services (CMS) will begin using the Center for Disease Control’s (CDC) “Table 1: Life Table for the total population: United States, 2018” for Workers’ Compensation Medicare Set Aside (WCMSA) life expectancy calculations. For any WCMSA proposal received by CMS through the voluntary review program, or […] Continue

CMS to Host Town Hall Meeting on Common NGHP Topics

CMS, Medicare Set-Aside Blog on February 26, 2021
Posted by Shannon Flynn

The Centers for Medicare & Medicaid Services (CMS) recently announced that it will be hosting a Benefits Coordination & Recovery Center (BCRC) and Commercial Repayment Center (CRC) Non-Group Health Plan (NGHP) town hall meeting on April 1, 2021 at 1:00 pm ET. The meeting will provide an opportunity to discuss common NGHP topics. During the […] Continue

Preparing for When the PAID Act Takes Effect in December 2021

CMS, Mandatory Insurer Reporting, Medicare Advantage, Medicare Set-Aside Blog on February 12, 2021
Posted by Jessica M. Wingenroth, JD

This week marks two months since the PAID Act became law. The act paves the way for Non-Group Health Plan (NGHP) Responsible Reporting Entities (RREs) to receive valuable Medicare Part C and Part D plan information for the injured parties they submit through the Centers for Medicare and Medicaid Services’ (CMS’) Section 111 query process. […] Continue