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Breaking CMS Medicare Updates

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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.

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July 12, 2017

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.

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July 11, 2017

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.

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July 7, 2017

Medicare Section 111 process change eases one compliance burden

RREs will no longer automatically be moved into “discontinued” status if they fail to provide Medicare the requested annual recertification information.

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June 6, 2017

Fact check time for LMSA/NFMSA developments

The real question is: What, when, and how is CMS going to step into the liability and no-fault arena and how will it affect claims management?

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March 23, 2017

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.

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March 8, 2017

New development hints at future MSA expansion to liability: CMS updates Common Working File for LMSAs and NFMSAs

CMS has issued a Change Request (CR-9893) to update it's Common Working File regarding both Liability and No-Fault Medicare Set-Aside arrangements.

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January 23, 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.

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January 18, 2017

Important SSNRI news at CMS forum

To comply with the Medicare Access and CHIP Reauthorization Act of 2015, CMS announced the Social Security Number Removal Initiative on Tuesday, January 17.

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December 22, 2016

A holiday present from CMS

Foreshadowing a major change to Medicare Set-Asides (MSAs), the Centers for Medicare & Medicaid Services (CMS) announced on Wednesday, December 21.

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December 16, 2016

CMS releases updated reporting and recovery thresholds with news on TPOCs

The Centers for Medicare and Medicaid Services (CMS) has released its latest alert regarding its low-dollar reporting and recovery thresholds pertaining to liability…

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November 10, 2016

CMS to hold town hall call on November 17

The Centers for Medicare and Medicaid Services (CMS) will conduct a town hall teleconference November 17, 2016.

Zeroallocations
November 1, 2016

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.

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October 27, 2016

CMS news alert: Zero allocations are far from over

The Centers for Medicare and Medicaid Services (CMS) made news this week by purportedly “correcting” their position on zero allocations.

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October 19, 2016

CMS updates Medicare Secondary Payer Recovery Portal

On October 11, 2016, the Centers for Medicare and Medicaid Services (CMS) released a new, updated version of the Medicare Secondary Payer Recovery Portal (MSPRP) User…

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