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Workers' Compensation Medicare Set-Aside (WCMSA)

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May 9, 2018

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.

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April 18, 2018

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.

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April 12, 2018

CMS issues new regulations aimed at identifying and limiting potential opioid abuse

On April 2, 2018, C,S issued a final rule which updated regulations for Medicare Advantage Plans (MAP) and Medicare Part D programs.

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March 28, 2018

CMS’ Medicare Beneficiary Identifier initiative and its Medicare Secondary Payer impact

Starting in April, CMS will begin replacing all Medicare cards with a new unique 11-byte Medicare Beneficiary Identifier (MBI) number.

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March 23, 2018

CMS releases WCMSA reference guide (Version 2.7)

The Centers for Medicare and Medicaid Services (CMS) has released its latest WCMSA Reference Guide (Version 2.7).

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March 8, 2018

WCMSA update: CMS holds WCRC transition webinar

On March 7, 2018, CMS held a transition webinar regarding its upcoming Workers’ Compensation Review Contractor (WCRC) transition.

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March 2, 2018

WCMSA update: New WCRC takes over March 19th – webinar set for March 7th

CMS has announced that its new Workers Compensation Review Contractor, Capitol Bridge, LLC will assume WCRC responsibilities on March 19, 2018. CMS is holding a…

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February 28, 2018

Medicare watch list: Staying ahead of the Medicare Secondary Payer compliance curve

As another new year settles in, we know at least one thing is certain: Medicare Secondary Payer (MSP) compliance will continue to present formidable challenges for claims…

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December 19, 2017

CMS and opioid medications - Will CMS address opioids in 2018?

Currently, CMS takes a strict formulaic approach that will price all Medicare covered medication related to a claim at the present dosage and frequency for the “duration…

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December 15, 2017

GAO denies WCRC bid protests

In response to CMS awarding the WCRC bid to Capitol Bridge, LLC, KEN Consulting Inc. and Arch System, LLC filed formal bid protests with the Government Accountability…

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November 20, 2017

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’…

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September 26, 2017

Countdown to “full and final” settlements: Arizona S.B. 1332

The recent passage of Arizona Senate Bill (S.B.) 1332 provides Arizona claims payers with unprecedented opportunity to close out their workers' comp claims.

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September 6, 2017

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.

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August 2, 2017

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.

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August 1, 2017

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.