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12 Jun 2017, 9:05 am by Senior Editor
    Not So Secret Tips for Quick and Successful MSA Submissions It’s no secret quick and successful Medicare Set-Aside submissions to the Centers for Medicare and Medicaid Services (CMS) are driven by medical records which meet CMS requirements for review and approval of the MSA. [read post]
6 Jun 2017, 6:30 am by Michael B. Stack
  One such barrier is understanding the complexity of the Medicare Secondary Payer (MSP) Act and specifically the voluntary review and approval process for Workers Compensation Medicare Set-Asides (WCMSAs). [read post]
15 May 2017, 5:58 am by The Swartz Law Firm
While ATC did have some patients who needed psychiatric help and qualified for service, most did not and ATC did not provide the individualized treatment required by Medicare. [read post]
15 May 2017, 5:58 am by The Swartz Law Firm
While ATC did have some patients who needed psychiatric help and qualified for service, most did not and ATC did not provide the individualized treatment required by Medicare. [read post]
10 May 2017, 11:28 am by S2KM Limited
Question: How many defense brokers currently prioritize claim management process issues and metrics in their structured settlement marketing, sales and services? [read post]
10 May 2017, 11:28 am by S2KM Limited
Question: How many defense brokers currently prioritize claim management process issues and metrics in their structured settlement marketing, sales and services? [read post]
6 May 2017, 4:25 am by Jon Gelman
"The Court shall issue a judicial declaration that: (1) One “item or service,” as used in the Medicare Secondary Payer statute, 42 U.S.C. [read post]
2 May 2017, 6:30 am by Michael B. Stack
The post Identify and Realize Medicare Set-Aside Savings Opportunities appeared first on Work Comp Roundup. [read post]
24 Apr 2017, 6:30 am by Michael B. Stack
  Medicare Set-asides: Failure to settle cases involving Medicare beneficiaries (or those soon to be entitled) is driven mainly by an irrational fear of being reasonable. [read post]
17 Apr 2017, 4:25 pm by S2KM Limited
Their expertise encompasses government benefits including: Social Security; Medicare; Medicaid; the ACA; ABLE Act; Veterans benefits; and public housing. [read post]
17 Apr 2017, 4:25 pm by S2KM Limited
Their expertise encompasses government benefits including: Social Security; Medicare; Medicaid; the ACA; ABLE Act; Veterans benefits; and public housing. [read post]
5 Apr 2017, 6:30 am by Daniel Anders
CMS responds as follows:   CMS will establish two (2) new set-aside processes: a Liability Medicare Set-aside Arrangement (LMSA), and a No-Fault Medicare Set-aside Arrangement (NFMSA). [read post]
23 Mar 2017, 6:30 am by Daniel Anders
  There also continues to be a decade long effort to pass bipartisan legislation which would implement certain reforms to the Workers’ Compensation Medicare Set-Aside (WCMSA) review process. [read post]
14 Mar 2017, 6:30 am by Senior Editor
  There are a variety of tools to help manage medical costs; medical bill review, utilization review, provider networks, nurse case management, nurse triage, Medicare Set-asides, and the list goes on. [read post]
10 Mar 2017, 8:55 am by Michael B. Stack
In this role, Smith reviews and monitors clinical trends related to Medicare coverage criteria within the confines of Medicare Secondary Payer compliance, develops clinical strategies to support company’s pre- and post-Medicare Set-Aside intervention workflow and manages all clinical and pharmaceutical oversight teams. [read post]
24 Feb 2017, 8:15 am by Michael B. Stack
      NAMSAP Announces Leadership Team and Goals for 2017 The board of directors of the National Alliance for Medicare Set-Aside Professionals has elected the following officers for 2017: “Promoting payer participation in NAMSAP is another high priority” President: Shawn Deane, JD, MEd, MSCC, CMSP – assistant vice president of Product Development of ISO Claims Partners, Vice President: Greg Gitter, CMSP – president of Legacy Claims… [read post]
14 Feb 2017, 6:30 am by Michael B. Stack
A certified Medicare Set-Aside Consultant and attorney, he oversees the Medicare Secondary Payer (MSP) compliance program. [read post]
7 Feb 2017, 6:30 am by Daniel Anders
A certified Medicare Set-Aside Consultant and attorney, he oversees the Medicare Secondary Payer (MSP) compliance program. [read post]
18 Jan 2017, 7:06 am by Daniel Anders
In its recently released Request for Proposal for the Workers Compensation Review Contractor (WCRC), the Centers for Medicare and Medicaid Services (CMS) includes an option allowing CMS to expand the responsibilities of the WCRC to review of Liability Medicare Set-Asides (LMSAs) and No-Fault Medicare Set-Asides (NFMSAs) effective July 1, 2018. [read post]
17 Dec 2016, 7:00 am by Jon Gelman
Additionally, the newly established procedures and formats for Workers’ Compensation Medicare Set-Aside Arrangements (WCMSA) are discussed.Newly proposed rules by the Occupational Safety and Health Administration (OSHA) concerning beryllium are reviewed. [read post]