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
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
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