The Official Medicare Set Aside Blog And Information Resource

MSA PEARLS: THE AMENDED REVIEW PROCESS

CMS, Medicare Set-Aside Blog, WCRC on October 14, 2020
Posted by Noel D. Sturtz, Client Program Manager

An Amended Review success for our client: Their initial CMS-approved MSA included lumbar surgery and a spinal cord stimulator, both of which we had allocated based on the records reviewed. Per the additional records for the Amended Review, the claimant subsequently underwent lumbar fusion, with significant improvement such that the treating physician ultimately concluded that […] 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

Updated WCMSA Reference Guide Issued

CMS, Medicare Set-Aside Blog, Medicare Set-Asides, WCRC on May 15, 2020
Posted by Jean S. Goldstein, JD, CMSP

Today, the Centers for Medicare & Medicaid Services (CMS) released a revised Workers’ Compensation Medicare Set-Aside (WCMSA) Reference Guide.  The updated guide is version 3.1, dated May 11, 2020, and can be found here. As with other versions of the guide, a summary of updates to the guide are found in Section 1.1. The only update […] Continue

Reminder: 04/01 Revised CMS Release Must be Used; Electronic Signatures: OK

CMS, MSAs, WCRC on March 23, 2020
Posted by Jean S. Goldstein, JD, CMSP

In just 9 days, the Centers for Medicare & Medicaid Services (CMS) will no longer accept a standard CMS release when submitting a Workers’ Compensation Medicare Set-Aside (WCMSA) for review and approval to the Workers’ Compensation Review Contractor, CMS’ independent contractor.   As noted in CMS’ most recently issued WCMSA Reference Guide, beginning on April 1, […] Continue

CMS to Begin Utilizing 2017 Life Table

CMS, Medicare Set-Aside Blog, MSAs, WCRC on March 18, 2020
Posted by Jean S. Goldstein, JD, CMSP

Starting April 25, the Centers for Medicare and Medicaid Services (CMS) will begin using the Center for Disease Control’s (CDC) “Table 1: Life Table for the total population: United States, 2017” for Workers’ Compensation Medicare Set Aside (WCMSA) life expectancy calculations.  This means that for any WCMSA proposal received by CMS through the voluntary review […] Continue