Shawn Deane, vice president of Medicare / Medicaid compliance and policy, has been elected president of the National Alliance for Medicare Set-Aside Professionals.
CMS moved forward with requests for proposals regarding the WCRC contract by releasing a full solicitation notice before the holidays.
Foreshadowing a major change to Medicare Set-Asides (MSAs), the Centers for Medicare & Medicaid Services (CMS) announced on Wednesday, December 21.
From the moment CMS proposed changes to the process, we outlined why we strongly believe that the workers' compensation industry should not stand idly.
The Centers for Medicare and Medicaid Services (CMS) made news this week by purportedly “correcting” their position on zero allocations.
Medicare Set-Asides (MSAs) are primarily a coordination of benefits tool. The failure to obtain & adequately fund an MSA can result in a denial of payment.
On September 6, the Centers for Medicare and Medicaid Services (CMS) updated a previously released pre solicitation notice.
On June 9, the Centers for Medicare and Medicaid Services (CMS) announced that it is considering expanding its voluntary Medicare Set-Aside (MSA).
It’s no surprise that prescription medications are often the biggest cost driver in a Medicare Set-Aside (MSA).
Although Utilization Reviews (URs) and Independent Medical Reviews (IMRs) have been used in state jurisdictions for years, insurers have only recently focused on how the…
On April 25, 2015, the FDA issued approval for multiple manufacturers to market generic aripiprazole (Abilify).
California uses Independent Medical Reviews (IMRs) to resolve disputes regarding medical treatment for injured employees. This process was enacted by way of a landmark…
On January 26, 2015, the FDA approved esomeprazole, the generic form of Nexium. Claims payers and the Medicare Set-Aside (MSA) industry take notice any time a widely…
It is no secret that Medicare Secondary Payer compliance continues to complicate workers' compensation claims practice. Unfortunately, far too often Medicare issues…
In McCarroll v. Livingston Parish Council, 2014 WL 5439624, -- So.3d – (La. App. 1st Cir., October 27, 2014), the parties believed that the claimant could use his…