Sid Wong, J.D.
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’…
What’s next for the WCRC? New contract awarded to Capitol Bridge, LLC
On September 1 2017, CMS finally announced that the Workers' Compensation Review Contractor contract has been awarded to Capitol Bridge, LLC.
Making sense of the WCMSA reference guide 2.6
On 7/31, CMS released their new WCMSA Reference Guide. Learn what the changes outlined might mean for submitting WCMSAs to CMS.
Amended review and other takeaways from the latest WCMSA reference guide
On July 31st 2017, 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.
Shiny new features for the WCMSA portal
CMS recently released an updated Workers’ Compensation Medicare Set-Aside Portal manual in conjunction with substantial changes to the portal.
A solid second bite: CMS re-review now allows new medical documentation
Yesterday, CMS released a new Workers’ Compensation Medicare Set-Aside Portal User Guide that now allows for re-reviews of WCMSA decisions.
FDA request to remove Opana ER may be good news for WCMSAs
The fight against opioids continues, as the U.S. Food and Drug Administration recently announced they want painkiller Opana ER off the market. If removed, learn how it…
3 easy ways to reduce MSA prescription costs
With prescription prices increasing every day, it's harder than ever to contain costs. That's why we put together three easy ways to reduce WCMSA costs.
Break the logjam of zero MSAs in development
Zero WCMSA submissions are getting mired in a cycle of CMS development letters & submissions as the WCRC gets more meticulous about submitted pay histories.
CMS will use the new 2012 CDC Life Table for WCMSAs
On March 8, CMS announced that beginning April 1, it will use the new 2012 CDC Life Table to calculate life expectancy in Medicare Set-Asides.
2017 Medicare watch list
It’s clear there will be no shortage of Medicare Secondary Payer developments to keep an eye on this year. Here’s an outline of MSP events to watch in 2017.
Clues to CMS future gleaned from WCRC solicitation notice
CMS moved forward with requests for proposals regarding the WCRC contract by releasing a full solicitation notice before the holidays.
Removing roadblocks to settlements: Medicare Part C claims in the way of your settlement
The last half-dozen years have seen Medicare Secondary Payer (MSP) compliance evolve, with the most recent example being its change in focus from mandatory insurer…
Zero allocations: CMS backs down from drastic changes
From the moment CMS proposed changes to the process, we outlined why we strongly believe that the workers' compensation industry should not stand idly.