Centers for Medicare and Medicaid Services (CMS)

The CMS WCMSA "Amended Review Process" New Opportunity to Reduce WCMSA Allocations and Settle Claims

For years, the Centers for Medicare and Medicaid Services (CMS) has refused to consider medical evidence postdating the original submission date of a Workers’ Compensation Medicare Set-Aside (WCMSA) proposal.

Liability MSA Update

On October 26, 2017, the Centers for Medicare and Medicaid Services (CMS) has released its latest update regarding the LMSA issue. This new notice provides no substantive or policy information...

Performant Awarded CMS Commercial Repayment Center Contract

It was announced on October 5, 2017, that the Centers for Medicare and Medicaid Services (CMS) awarded Performant Financial Corporation (Performant) the Commercial Repayment Center (CRC) contract.

What’s Next for the WCRC? New Contract Awarded to Capitol Bridge, LLC

Since the Workers’ Compensation Review Contractor (WCRC) contract renewal process began in December 2016, the industry has been awaiting news: whether Provider Resources, Inc. (PRI) would be renewe...

Making Sense of the WCMSA Reference Guide 2.6

When the Centers for Medicare and Medicaid Services (CMS) released the latest Workers’ Compensation Medicare Set-Aside (WCMSA) Reference Guide on July 31, 2017, we anticipated more insights to new...

Amended Review and Other Takeaways from the Latest WCMSA Reference Guide

On July 31st 2017, the Centers for Medicare and Medicaid Services (CMS) released its most recent version of the Workers’ Compensation Medicare Set-Aside Reference Guide—and there’s a lot to digest....

Opana ER Will Be Removed from the Marketplace

Opana ER will be voluntarily removed from the marketplace, per the announcement last week of manufacturer Endo International plc. This follows the FDA’s suggestion that we blogged about last month...

Shiny New Features for the WCMSA Portal

The Centers for Medicare and Medicaid Services (CMS) recently released an updated Workers’ Compensation Medicare Set-Aside Portal (WCMSAP) manual in conjunction with substantial changes to the...

A Solid Second Bite: CMS Re-review Now Allows New Medical Documentation

Yesterday, the Centers for Medicare and Medicaid Services (CMS) released a new Workers’ Compensation Medicare Set-Aside Portal (WCMSAP) User Guide and updated its re-review process to include a thi...

Medicare Section 111 Process Change Eases One Compliance Burden

Medicare’s annual recertification process and update brings welcome news about Section 111 reporting and Responsible Reporting Entities (RREs). RREs will no longer automatically be moved into...