Successful Appeal to CMS ALJ Yields $80K Reduction in Conditional Payments
Posted on March 15, 2023 by Tower MSA Partners
In response to a Medicare conditional payment demand, payers can access a five-level appeals process, including a hearing before a Centers for Medicaid and Medicaid Services (CMS) administrative law judge (ALJ). Most conditional payment demand appeals are resolved at the…
Tower Partners: People Behind the Settlements Interview with Kevin Puckett of KP Underwriting
Posted on February 16, 2023 by Tower MSA Partners
Tower MSA Partners is pleased to launch “Tower Partners: People Behind the Settlements.” This quarterly series will dig into the elements that go into smooth, cost-effective settlements and introduce Tower’s team members and corporate partners who make them possible. First…
Posted on January 26, 2023 by Tower MSA Partners
Tower’s MSP Compliance blog analyzes the nuances of Medicare Set-Asides (MSAs) and other aspects of Medicare Secondary Payer Compliance. It covers topics like re-reviews and the termination of ongoing responsibility for medicals (ORM), along with tweaks to WCMSA Reference Guide….
Premier Webinar: Zeroing in on $0 MSAs
Posted on January 25, 2023 by Tower MSA Partners
A $0 MSA remains an option in some workers’ compensation case settlements, although strict criteria must be met if CMS approval is necessary. It is essential then for claims professionals to understand this criteria as steps taken early in claims…
Happy Holidays From Your Friends at Tower MSA Partners
Posted on December 21, 2022 by Tower MSA Partners
We’ve had an exciting year of growth at Tower MSA Partners in 2022 and would like to extend our appreciation to you, our valued partners, who have supported us. Whether this is your first year as a Tower client, or one who…
Tower Releases White Paper on Future Medicals in Liability Settlements
Posted on December 13, 2022 by Tower MSA Partners
This past October, the Centers for Medicare and Medicaid Services (CMS) withdrew its proposed rule on future medicals in liability settlements from review by the White House Office of Information and Regulatory Affairs (OIRA). (See CMS Withdraws Proposed Rule on…
AASCIF Publishes Tower Article on MSA Submit vs. Non-Submit Debate
Posted on December 12, 2022 by Tower MSA Partners
In its fall newsletter, the American Association of State Compensation Insurance Funds (AASCIF) published an article entitled “Despite the Controversy, MSA Submission is Still Okay.” Written by Tower’s Chief Compliance Officer, Dan Anders, the article details the pros and cons…
Post-Settlement Care, Cost and Compliance Through Professional Administration
Posted on December 6, 2022 by Tower MSA Partners
While workers’ comp payers invest considerable resources to manage and settle claims, they don’t always prepare Medicare-eligible injured workers for life after settlement. These patients have usually been in the workers’ comp system for several years. And the system has…
CIO Review Magazine Ranks Tower MSA Partners Among Top 10 Compliance Technology Services Companies
Posted on November 3, 2022 by Tower MSA Partners
The honors keep coming. Earlier this year, Tower ranked in South Florida Business Journal’s Top 25 Women-Owned Business list and now there’s national recognition of our technology driven compliance services. CIO Review: The Enterprise Technology Magazine just listed us among…
Premier Webinar: Care, Cost & Compliance Through MSA Professional Administration
Posted on October 25, 2022 by Tower MSA Partners
We rightly invest time to draft a Medicare Set-Aside (MSA) that accurately considers future medical care and, when appropriate, obtain approval of the allocation from the Centers for Medicare and Medicaid Services (CMS). However, we don’t always dedicate enough time…
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