Sid Wong, J.D.
Reducing WCMSAs and Getting Claims Settled: Cost mitigation strategies for success
It is no secret that high WCMSAs amounts can complicate claim settlement, insurers often have more power than they realize
Updated Workers’ Compensation Medicare Set-Aside (WCMSA) Reference Guide (Version 3.6) released – CMS makes further clarifications to its WCMSA EBMSA/non-submit policy and other updates
CMS makes what it terms as “clarifications” regarding the application of its EBMSAs and non-submit MSA policy as stated in Section 4.3 of the Reference Guide.
CMS holds WCMSA webinar CMS discusses non-submit/EBMSAs, allocation pricing, denials, and other important WCMSA topics
On February 17, 2022 the Centers for Medicare and Medicaid Services (CMS) held a webinar session to address workers’ compensation Medicare set-aside (WCMSA) issues.
CMS to hold WCMSA webinar on February 17, 2022 – several key WCMSA topics are on CMS’s agenda
The Centers for Medicare and Medicaid Services (CMS) will discuss a variety of topics related to Workers’ Compensation Medicare Set-Asides (WCMSAs).
New Workers’ Compensation Medicare Set-Aside (WCMSA) Reference Guide (Version 3.5) takes aim at non-submit and EBMSAs
Centers for Medicare and Medicaid Services (CMS) has released an updated Workers’ Compensation Medicare Set-Aside (WCMSA) Reference Guide (Version 3.5, January 10, 2022).
CMS releases Section 111 NGHP User Guide (Version 6.7) – new updates provide a GoPaperless option for Medicare Secondary Payer Recovery Portal users
CMS has released an updated Section 111 NGHP User Guide (V 6.7, Jan 10, 2022) regarding non-group health plans. This updated guide replaces Version 6.6 (Dec. 13, 2021).
CMS releases new WCMSA Reference Guide (Version 3.4)
CMS has just released their latest version of the WCMSA Reference Guide (Version 3.4, October 4, 2021). This new guide replaces WCMSA Reference guide version 3.3.
New NGHP Section 111 User Guide (6.4) – PAID Act, ORM termination, and other updates
The Centers for Medicare and Medicaid Services (CMS) has released an updated Section 111 NGHP User Guide (Version 6.4, June 11, 2021) regarding non-group health plans.
CMS releases new WCMSA Reference Guide (Version 3.3)
The Centers for Medicare and Medicaid Services (CMS) has just released their latest version of the WCMSA Reference Guide (Version 3.3, April 19, 2021).
Starting March 27, 2021, CMS will use the 2018 CDC Life Table for WCMSAs
Starting 3/27/21, CMS has announced that it will use the new 2018 CDC Life Table to calculate adjusted life expectancies in Workers’ Compensation Medicare Set-Asides…
CMS releases new WCMSA Reference Guide (Version 3.2)
On 10/5/20, CMS released its latest version of the WCMSA Reference Guide, Version 3.2. This guides replaces version 3.1, released on 5/11/20.
CMS discusses conditional payment issues on NGPH applicable plans webinar
On 9/24, CMS and the CRC held a webinar on redetermination requests as part of the administrative appeals process for conditional payment disputes of non-group health…
CMS releases new WCMSA reference guide (Version 3.1)
The Centers for Medicare and Medicaid Services (CMS) has just released its latest version of the WCMSA reference guide version 3.1 (May 11, 2020).
Medicare enables COVID-19 ICD-10 code for Section 111 reporting
The CDC issued a bulletin advising it is implementing the new ICD-10 U07.1 for “COVID-19, virus identified” in an off-cycle update effective 4/1/20, to code the COVID-19…
Settling claims in unsettling times
In a time of social distancing and uncertainty, many are left wondering how our current working and social paradigm will impact workers’ compensation claims handling –…