The Official Medicare Set Aside Blog And Information Resource

COVID-19 and Workers’ Compensation: One Year Later

Medicare Set-Aside Blog, Medicare Set-Asides, Work Comp on June 24, 2021
Posted by Noel D. Sturtz, Client Program Manager

by Kristie Kline, Lead MSA Analyst and Noel D. Sturtz, Client Program Manager On March 11, 2020, The World Health Organization (WHO) deemed COVID-19 a pandemic. Two days later, on March 13, 2020, a national emergency is declared in the United States, with the U.S. having the world’s highest number of cases by the month’s […] 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

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

MSA Pearls: The Re-Review Process

CMS, Medicare Set-Aside Blog, Medicare Set-Asides, WCRC on January 29, 2021
Posted by Noel D. Sturtz, Client Program Manager

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

Updated WCMSA Reference Guide Issued with Newly Added Appendix 7: Major Medical Centers by State, National Provider Identifier and Zip Code

CMS, Medicare Set-Aside Blog, Medicare Set-Asides, WCRC on October 6, 2020
Posted by Noel D. Sturtz, Client Program Manager

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