Workers’ Compensation Medicare Set-Aside (WCMSA)

Top 10 Medicare Secondary Payer Trends in 2019

Medicare Secondary Payer (MSP) compliance is a rapidly evolving area that has experienced significant changes in recent years, and 2019 looks to be no different. Policy changes, stricter regulation...

CMS Will Use the 2015 CDC Life Table for WCMSAs Starting 1/5/19

In an alert dated December 5, 2018, the Centers for Medicare and Medicaid Services (CMS) announced that beginning January 5, 2019, they will use the new 2015 CDC Life Table to calculate adjusted li...

CMS Releases New WCMSA Reference Guide and NGHP Section 111 User Guide

The Centers for Medicare and Medicaid Services (CMS) has updated its Workers' Compensation Medicare Set-Aside (WCMSA) Reference Guide and Non-Group Health Plan (NGHP) Section 111 User Guide . These...

Workers’ Compensation Medicare Set-Aside Companion Bill Filed in House of Representatives

On July 26, 2018, Representative David Reichert (R-WA) and Representative Mike Thompson (D-CA) introduced H.R. 6619- Medicare Secondary Payer and Workers’ Compensation Settlement Agreements Act of...

Workers’ Compensation Medicare Set Aside Legislation Filed, Referred to Committee

On June 18, 2018, Senators Rob Portman (R-OH) and Bill Nelson (D-FL) introduced legislation aimed at reforming the Centers for Medicare and Medicaid Services’ (CMS) Workers’ Compensation Medicare...

Five Steps to Reduce Your WCMSA Costs

It is no secret that high Workers’ Compensation Medicare Set Aside (WCMSA) allocation amounts can complicate claim settlement. The culprits can range from the Centers for Medicare and Medicaid...

New Kentucky Workers’ Compensation Law Limits Treatment to 780 Weeks for Certain Claims

On March 30, 2018, Kentucky House Bill (HB-2) was signed into law which makes major changes to the Kentucky workers’ compensation statute. The most significant addition is language that limits...

WCMSA Update: CMS Holds WCRC Transition Webinar

On March 7, 2018, the Centers for Medicare and Medicaid Services (CMS) held a transition webinar regarding its upcoming Workers’ Compensation Review Contractor (WCRC) transition. In late September...

Government Shutdown & Medicare Secondary Payer Impact

The federal government shutdown began on 12:01 a.m. EST this past Saturday, as a prior short-term spending bill expired and the failure of a short-term funding bill failed to pass the Senate. As of...

CMS and Opioid Medications - Will CMS Address Opioids in 2018?

Ever since Center for Medicare & Medicaid Services (CMS) started to individually price medications in early 2009, prescription medications, especially opioid medications, have become major cost...