The Official Medicare Set Aside Blog And Information Resource

Independent Medical Review (IMR) Trends in California Workers’ Compensation

CMS, Independent Medical Review, Medicare Set-Aside Blog on May 12, 2021
Posted by Shannon Flynn

by Haj Aoki, Division Manager & Eric McClain, Lead MSA Analyst As featured last week on, 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

CMS Releases Version 3.3 Workers’ Compensation Medicare Set-Aside Reference Guide

CMS, Medicare Set-Aside Blog, Medicare Set-Asides, MSP News on April 28, 2021
Posted by Shannon Flynn

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

WATCHMAN Device – A Promising Treatment for Atrial Fibrillation

CMS, FDA, Medicare Set-Aside Blog, MSAs on April 22, 2021
Posted by Shannon Flynn

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

CMS Updates Model Language Form for SSN/MBI Information

CMS, Medicare Set-Aside Blog on April 16, 2021
Posted by Shannon Flynn

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