Search for: "Medicare Set Aside Services"
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27 Dec 2011, 7:32 am
The likelihood that CMS will abide by amounts parties set aside in settlement agreements has always been in question, but the Hadden decision gives Medicare less incentive to negotiate and more incentive to recover the full amount of benefits paid. [read post]
26 Dec 2011, 8:55 am
Government Benefits Medicare Secondary Payer Protocol - Although no statutory or regulatory authority requires Medicare set-aside arrangements (MSAs) in third party liability settlements, confusion continues as to whether and when MSAs are necessary and/or appropriate for such cases. [read post]
21 Dec 2011, 8:02 pm
Medicare Part D legislation also significantly increased the U.S. government’s involvement in the pharmaceutical sector, providing an enormous amount of funding for spending on drugs for the elderly. [read post]
21 Dec 2011, 8:01 pm
In any event, I particularly liked this closing reflection from Purdy’s article: Taken to their limit, [cases like Sorrell and Citizens United] would set aside the intellectual and political gains of decades of struggle in the twentieth century: the New Deal recognition that the country must take responsibility for shaping its own economy, and the decision to remove the old American romance with economic libertarianism from constitutional judging. [read post]
21 Dec 2011, 9:49 am
He has given numerous presentations on the subject of medication management and how it relates to Workers’ Compensation and Medicare Set Aside Claims. [read post]
19 Dec 2011, 9:49 am
This site provides an interface for entry of Workers’ Compensation Medicare Set-Aside Arrangements (WCMSA) proposals. [read post]
19 Dec 2011, 9:30 am
” Under this model, CMS should require each plan to set aside a structured, de-identified copy of claims and encounter data in a secure system (such as on an edge server or in a secure cloud storage center). [read post]
19 Dec 2011, 9:30 am
” Under this model, CMS should require each plan to set aside a structured, de-identified copy of claims and encounter data in a secure system (such as on an edge server or in a secure cloud storage center). [read post]
15 Dec 2011, 3:07 pm
If the insurance company decides to settle the catastrophic workers comp claim, they work with the Centers for Medicare and Medicaid Services (CMS) to obtain approval of the Medicare Set Aside Agreement (MSA). [read post]
8 Dec 2011, 2:41 am
The Workers' Compensation Medicare Set-aside Portal (WCMSAP) application has gone "live" and is now available for users. [read post]
5 Dec 2011, 6:12 am
The 6th Circuit Court of Appeals has ruled that The Center for Medicare and Medicaid Services (CMS) is entitled to complete reimbursement of Medicare payments under the Medicare Secondary Payer Act (MSP) from a liability claim even though the beneficiary claimed that the settlement required allocation due to the law allocating liability. [read post]
1 Dec 2011, 9:02 am
The Centers for Medicare and Medicaid Services (CMS) has announced the creation of an Internet portal for submission of workers compensation Medicare Set-Aside (WCMSA) proposals. [read post]
30 Nov 2011, 8:56 am
The most noteworthy aspect of the new regulations is that the parties are permitted to forego CMS approval of a proposed settlement that meets CMS review thresholds provided that the settlement documents contain three elements: (1) an acknowledgement that the settlement is within the CMS review thresholds, (2) a statement that the parties voluntarily have elected not to submit the settlement and formal set-aside proposal to CMS for review and approval and (3) a statement that the… [read post]
22 Nov 2011, 4:59 am
The Centers for Medicare & Medicaid Services (CMS) has completed its Pilot Testing of the Workers' Compensation Medicare Set-aside Portal (WCMSAP). [read post]
17 Nov 2011, 3:29 am
She has vast knowledge of Medicare Set Asides and Post-Settlement Administration from an insurance claims perspective. [read post]
16 Nov 2011, 6:36 am
Rafael Gonzales is out at The Center for Medicare Set Aside Administration and The Center for Lien Resolution and is now with Gould and Lamb. [read post]
8 Nov 2011, 4:04 am
He has given numerous presentations on the subject of medication management and how it relates to Workers’ Compensation and Medicare Set Aside Claims. [read post]
2 Nov 2011, 2:12 pm
CMS should require each plan to set aside a copy of structured, de-identified claims and encounter data in a secure system, such as an edge server. [read post]
25 Oct 2011, 3:00 am
Politics aside, what torpedoed the CLASS act? [read post]
18 Oct 2011, 8:59 am
This memorandum will be posted on the Centers for Medicare & Medicaid Services’ (CMS) website. 1.) [read post]
