Workers' Compensation Medicare Set-Aside (WCMSA)

3/8/2018 - 3 min read

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.

3/2/2018 - 1 min read

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 transition webinar on March 7, 2018 at 1:00 p.m. EST to address this new change.

2/28/2018 - 7 min read

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: MSP compliance will continue to present formidable challenges for claims payers.

12/19/2017 - 2 min read

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 of a claimant’s life expectancy” and regardless of whether or not the claimant is a Medicare beneficiary or has Medicare Part D coverage.

12/15/2017 - 1 min read

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 Office (GAO) challenging this decision.

11/20/2017 - 4 min read

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’ Compensation Medicare Set-Aside (WCMSA) proposal.

9/26/2017 - 6 min read

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.

9/6/2017 - 1 min read

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.

8/2/2017 - 9 min read

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.

8/1/2017 - 2 min read

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.

7/17/2017 - 1 min read

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.

7/12/2017 - 1 min read

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.

Linkedin Sales Navigator 1669700 Unsplash

7/11/2017 - 2 min read

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.

6/26/2017 - 2 min read

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 will affect Workers’ Compensation Medicare Set-Aside processes.

4/17/2017 - 3 min read

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.