WCMSA

Seven Steps to closed: Maximizing Claims Settlement Projects

There is a thin—and potentially costly—line between settling a claim and keeping it open. If that critical window is missed, claims can quickly nose-dive down a dark and expensive road. Implementin...

A Holiday Present from CMS

Foreshadowing a major change to Medicare Set-Asides (MSAs), the Centers for Medicare & Medicaid Services (CMS) announced on Wednesday, December 21, that it would unveil new policies in 2017 regardi...

Medication Trends to Watch

It’s no surprise that prescription medications are often the biggest cost driver in a Medicare Set-Aside (MSA). Physicians routinely prescribe costly medications to treat claimants’ injuries and...

WCMSAP Rx Enhancement

The Centers for Medicare and Medicare Services (CMS) enhanced the Workers’ Compensation Medicare Set-Aside Arrangements portal (WCMSAP or portal) on October 6, 2014, by adding an additional step...

Preparing for Mediation: Medicare Checklist for WC Claims

It is no secret that Medicare Secondary Payer (MSP) compliance continues to complicate workers' compensation (WC) claims practice. Unfortunately, far too often Medicare issues (especially the...

CMS Releases Updated WCMSA Reference Guide

The Centers for Medicare and Medicaid Services (CMS) has released an updated WCMSA Reference Guide (Version 2.3) dated January 5, 2015. A copy of WCMSA Reference Guide (Version 2.3) can be obtained...

CMS Releases New Policy Regarding Hydrocodone & Other Controlled Substances

The Centers for Medicare and Medicaid Services (CMS) has announced a new policy starting January 1, 2015 regarding hydrocodone combination products and other controlled substances in relation to...

When Can I Use My WCMSA? Misunderstanding As to “When” the WCMSA Becomes Effective Ends Up Vacating Settlement

In McCarroll v. Livingston Parish Council , 2014 WL 5439624, -- So.3d – (La. App. 1 st Cir., October 27, 2014), the parties believed that the claimant could use his approved WCMSA fund to cover a...

Court Rules That Employer Does Not Have to Fund Higher WCMSA Amount

In Hunter v. Rapides Parish School Board , No. 14-490, 2014 WL 5669206 (La. App. 3 rd  , Nov. 5, 2014), the Louisiana appeals court held that the employer was not required to fund a counter-higher...

New MSP Changes –October Updates

There are several changes set to take effect in October, 2014 which will impact important areas of Medicare Compliance Secondary Payer (MSP) compliance. The following chart highlights these changes...