Yesterday, CMS issued a decision to cover acupuncture for Medicare patients with chronic low back pain (cLBP) to some extent. You may recall that CMS previously issued a proposed decision to cover acupuncture, as we discussed here on our blog. CMS’ final coverage decision memo can be found here, and indicates that acupuncture for chronic […] Continue
Last week, on January 14th, the Centers for Medicare & Medicaid Services hosted a townhall meeting, complete with a slide presentation to discuss several Medicare Secondary Payer Recovery topics. During the townhall meeting, CMS discussed the conditional payment recovery process along with providing time at the end of the presentation for questions. The slides from […] Continue
The Centers for Medicare & Medicaid Services issued an alert today that it will be hosting two town hall meetings to discuss common Commercial Repayment Center (CRC) Non-Group Health Plan (NGHP) Ongoing Responsibility for Medicals (ORM) and Group Health Plan (GHP) recovery topics. The first town hall will be held on January 14, 2020 at 1:00 […] Continue
Last week, in a pre-Halloween treat mode, CMS released a revised Workers’ Compensation Medicare Set-Aside (WCMSA) Reference Guide. The updated guide is version 3.0, dated October 10, 2019, and can be found here. As with other versions of the guide, updates are found in Section 1.1. Of the updates, there are two of great significance […] Continue
The Centers for Medicare & Medicaid Services (CMS) issued a revised Self-Administration Toolkit for Workers’ Compensation Medicare Set-Aside (WCMSA) Arrangements, version 1.3 yesterday. The purpose of this toolkit is to describe the WCMSA self-administration process and provide guidelines for claimants who are administering their own WCMSA. Specifically, the toolkit: Describes the self-administration process, from when […] Continue