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
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
by Noel D. Sturtz, Client Program Manager, and Justin Boyd, Senior CMS Operations Specialist In our 10/14/20 blog, we highlighted a client success story of a CMS Amended Review . But what about a CMS Re-Review? Or is this just a matter of semantics? According to the latest version of the Workers’ Compensation Medicare […] Continue
On October 5, 2020, the Centers for Medicare & Medicaid Services (CMS) released a revised Workers’ Compensation Medicare Set-Aside Arrangement (WCMSA) Reference Guide. The updated Guide is version 3.2. As with other versions, a summary of updates to the Guide is found in Section 1.1, and consists of the following changes: The major medical centers […] Continue
Shark Week is always a magical week; providing enthralling and illuminating insight into jaw-dropping actions of magnificent beings. As with previous years, Shark Week 2020 has not been a disappointment, but how does shark week compare to Medicare Secondary Payer (MSP) compliance? Our latest white paper addresses the three main goals of MSP compliance, and what consequences result for […] Continue