CMS Announces Updated Life Tables

On December 11, 2017 the Center for Medicare and Medicaid Services (“CMS”) announced that it would begin referencing the CDC’s Table 1: Life Table for the total population: United States, 2014, for WCMSA life expectancy calculations. Any WCMSA proposals received on or after December 11, 2017, or reopened on or after that date, will be … Continue reading CMS Announces Updated Life Tables

Dealing With Medicare And Medicaid Liens When Settling A Workers’ Compensation Claim

Most people in the workers' compensation business are now well aware of the need to consider Medicare's interests when settling any workers' compensation claim.  One thing that often goes unnoticed however, is the fact that Medicaid may also have an interest in a workers' compensation settlement.  This is a brief overview of both programs, with … Continue reading Dealing With Medicare And Medicaid Liens When Settling A Workers’ Compensation Claim

CMS Allows Insurers A Second Chance With Their Medicare Set Aside Submissions

On July 10, 2017 The Centers for Medicare and Medicaid Services ("CMS") published a new Workers’ Compensation Medicare-Set Aside Portal ("WCMSAP") User Guide and updated its policy regarding reconsideration of unfavorable Medicare Set-Aside ("MSA") determinations. Previously CMS allowed for a very limited re-review process, reserved for situations where either: 1) CMS’ determination contained an obvious mistake, such … Continue reading CMS Allows Insurers A Second Chance With Their Medicare Set Aside Submissions