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3 Oct 2014, 6:30 am by Senior Editor
  Listen   NCCI Examines Medicare Set-Asides (MSAs) and Workers Compensation On September 15, 2014 NCCI published an important report that took an in-depth look at the demographics and the review process as they relate to Workers’ Compensation Medicare Set Asides. [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]
26 Jan 2015, 6:30 am by Michael B. Stack
”  While the Prince Hamlet could not have known about the perils of the Medicare Secondary Payer Act, he clearly could understand the tribulation of claim handlers as they ponder the issue of submitting a Medicare Set-Aside (MSA) for review and approval. [read post]
4 Dec 2018, 6:30 am by Michael B. Stack
  Consider these questions and metrics:     Questions & Metrics to Assess Work Comp MSA Cost Drivers:   What percentage of your Medicare Set-Aside (MSA) submissions are accepted? [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]
9 May 2013, 3:31 am by Cynthia Marcotte Stamer
  In the settlement, GSK reserved monies to reimburse the Medicare Trust Fund for payments it made to cover the costs of treatment for the Medicare fee-for-service (FFS) enrollees’ Avandia-related injuries but did not set aside funds for reimbursement to MAOs. [read post]
21 Apr 2010, 12:20 pm by Medicare Set Aside Services
Glossary of MSP Acronyms AWP Average Wholesale Price CMS Centers for Medicare and Medicaid Services (Formerly the Health Care Financing Administration (HCFA)) COB Coordination of Benefits Contractor DOI Date of Incident or Injury GHP Group Health Plans HICN Health Insurance Claim Number ICD-9 International Classification of Diseases, 9 th Edition     MMA Medicare Modernization Act of 2003 MMSEA Medicare, Medicaid and SCHIP Enforcement Act of 2007 MSA… [read post]
22 Jul 2011, 7:42 am by Medicare Set Aside Services
  “Provision should also be made in the settlement agreement to provide for a mechanism so that items or services that were not covered by Medicare at the time, but later become covered, are transferred from the commutation specified for non-Medicare covered items and services to the set- aside arrangement. [read post]
30 Jan 2007, 12:05 pm
Nebraska Court of appeals dismisses workers request for waiting time penalties and attorney fees against employer who delayed funding a lump sum settlement that included terms requiring Medicare/Medicaid's approval of the lump sum's set-aside provisions. [read post]
29 Dec 2009, 6:43 am by Raúl
Asset Management/Trust Services Lien Resolution Medicare Set Asides/MSP Compliance Pooled Special Needs Trust Structured Settlements Contact them now. [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]
14 May 2010, 3:17 pm by structuredsettlements
In an April 24, 2010 effort to grow the structured settlement industry he posted about structured settlement public policy: "Why should structured settlement annuities cost less than lump sum alternatives to fund Medicare Set Aside Arrangements(MSAs)? [read post]
3 Jul 2009, 5:00 am
MSA Settlement Solutions is the industry leader of plaintiff-based Medicare Set-Aside Allocation (MSA) Services, Medical Cost Projection Services, Medical Exposure Forecasts and Economic Evaluations associated with settling workers compensation, general liability or personal injury claims. [read post]
26 Nov 2019, 6:30 am by Daniel Anders
”  The reference guide provides most CMS policy and procedures relating to its review of Workers’ Compensation Medicare Set-Asides. [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]
1 Oct 2011, 9:54 pm by Jon L. Gelman
The Centers for Medicare & Medicaid Services has consistently applied the Medicare Secondary Payer (MSP) provision for liability insurance (including self-insurance) effective 12/5/1980. [read post]
7 Oct 2009, 2:50 pm by Patrick Hindert
The Garretson Firm will continue to serve its clients with superior lien resolution, claims administration, bankruptcy and probate coordination, settlement allocations, Medicare Set-Aside analysis, and Qualified Settlement Fund services". [read post]