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MEDICARE SET-ASIDE FACTS AND FICTION-PART II

Here is the second part of my article for the Cleveland Metropolitan Bar Journal.  There are some resources at the end of the article that might be helpful if you need to contact CMS regarding any MSA issues or, as discussed in this part of the article, if you are dealing with any Medicaid lien … Continue reading MEDICARE SET-ASIDE FACTS AND FICTION-PART II

MEDICARE SET-ASIDE FACTS AND FICTION

With speaking at SIGO's education day, writing an article for the Cleveland Metropolitan Bar Association and getting ready for another CLE, I've been a little delinquent with the blog, so my apologies.   I've decided to use some of the material I put together for those events in the blog.  This is Part One of an article I'm … Continue reading MEDICARE SET-ASIDE FACTS AND FICTION

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