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VISUALIZE | INSIGHTS THAT POWER INNOVATION

Sid Wong, J.D.

Sid Wong is vice president of policy, Casualty Solutions at Verisk. You can contact Sid at swong@verisk.com.

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June 1, 2022

Are indemnified EBMSAs still an effective tool after CMS released Section 4.3?

When the CMS released version 3.5 of the WCMSA reference guide on January 11, 2022, it redefined the potential risk and settlement considerations.

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May 31, 2022

Starting June 4, 2022, CMS Will Use the 2019 CDC Life Table for WCMSAs

Starting June 4, 2022, CMS Will Use the 2019 CDC Life Table for WCMSAs

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April 18, 2022

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.

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March 24, 2022

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.

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February 18, 2022

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.

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February 7, 2022

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).

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January 13, 2022

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).

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January 12, 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).

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October 8, 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.

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June 11, 2021

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.

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April 29, 2021

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).

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March 5, 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…

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October 6, 2020

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.

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September 28, 2020

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…

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May 15, 2020

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).

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