The Official Medicare Set Aside Blog And Information Resource

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

Shark Week and MSP Compliance: What Do They Have In Common?

CMS, Conditional Payments, Medicare Set-Aside Blog, Medicare Set-Asides, MSAs on August 14, 2020
Posted by Jean S. Goldstein, JD, CMSP

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

Update: Proposed Rulemaking to Clarify Existing MSP Obligations

CMS, Medicare Set-Aside Blog, Medicare Set-Asides, MSAs, MSP News on July 1, 2020
Posted by Jean S. Goldstein, JD, CMSP

We continue to monitor guidance from the Centers for Medicare & Medicaid Service (CMS) regarding Medicare Secondary Payer (MSP) compliance as related to workers’ compensation, liability, and no-fault insurance claims.  As we often discuss here on our blog, CMS continues to place emphasis on satisfying MSP obligations.  You may recall that in December 2018, CMS […] Continue

The Effectiveness of Ketamine Infusion for Chronic Pain

Medicare Set-Aside Blog, Medicare Set-Asides, Rx/Pharmacy on June 8, 2020
Posted by Leah King, PharmD, JD, Independent Pharmacy Consultant

Patients with chronic pain often present a challenging treatment scenario for health care practitioners. This has historically been the case, and the opioid crisis has served to create additional challenges by discouraging the use of opioids which have traditionally been the mainstays of pain therapy. Because of the opioid epidemic, treatment guidelines have emerged which […] Continue