Fact Check Time for LMSA/NFMSA Developments

It is no secret that CMS has announced (for years) its intention to expand the workers’ compensation MSA program into the liability and no-fault arena. But the real question today is: What, when, and how is CMS going to step into this new arena and how will it affect claims management? CMS has provided little […]

Break the Logjam of Zero MSAs in Development

Zero WCMSA submissions are getting mired in a cycle of CMS development letters and responses, as the CMS Workers’ Compensation Review Contractor (WCRC) becomes increasingly meticulous about formatting requirements for submitted pay histories. Many of the current WCRC reviewer requests are not even listed requirements in either the WCMSA reference guide or the CMS operating […]

2017 Medicare Watch List

As the first quarter of 2017 comes to an end, it’s clear there will be no shortage of Medicare Secondary Payer (MSP) developments to keep an eye on this year. Here’s an outline of a few MSP events to watch in 2017: WCRC bid: Last year, the Centers for Medicare & Medicaid Services (CMS) opened […]

New development hints at future MSA expansion to liability: CMS updates Common Working File for LMSAs and NFMSAs

The Centers for Medicare and Medicaid Services (CMS) has issued a Change Request (CR-9893) to update its Common Working File (CWF) regarding Liability Medicare Set-Aside (LMSA) and No-Fault Medicare Set-Aside (NFMSA) Arrangements. CR-9893 is the latest in a string of recent releases signaling CMS’ possible expansion of MSAs to liability and other non-group health plans […]