CMS recently announced it will hold a webinar on March 13, 2019 at 1:00 PM ET for the purpose of introducing an electronic payment functionality to the Medicare Secondary Payer Recovery Portal (MSPRP). This functionally will become available on April…

Medicare Secondary Payer policies and processes are always in flux, whether CMS tweaks what is included or excluded in the MSA or introduces a new contractor who brings their own take on MSA reviews or Medicare conditional payment recovery. Below…

Michael Stack, CEO of AMAXX and publisher of the Reduce Your Workers Comp blog, has authored another exceptional article, Steps to Optimize Medicare Set Asides Before — and After — Settlement, which, among other topics, provides key indicators of an…

In the recently released updated WCMSA Reference Guide (See Version 2.9, January 4, 2019), CMS provides both notable and minor changes to its policies and procedures surrounding its review of workers’ compensation MSAs. Significantly, CMS clarifies its reasoning behind expanded…

Over the past year, the Centers for Medicare and Medicaid Services (CMS) has been enhancing its web-based Medicare Secondary Recovery Portal (MSPRP) which has improved its usefulness in identifying and resolving Medicare conditional payments. CMS’s latest improvement, effective January 5,…

Wednesday, January 23, 2018 at 2:00 PM ET One of the simplest ways to lower the cost of settlement is through a structured Medicare Set-Aside. Not only does this reduce the employer or insurer’s cost of funding the MSA, it…

This past week the Office of Management and Budget posted two rulemaking notices from the Centers for Medicare and Medicaid Services (CMS), one with implications for the consideration of future medicals in liability settlements and the other regarding criteria for…

Lyrica is a brand name only medication which costs $8.91 per pill at 150mg. Over a 20-year life expectancy, this is close to $200K in an MSA allocation. Until recently, CMS largely excluded Lyrica from the MSA on the basis…

On 10/1/2018, the Centers for Medicare and Medicaid Services (CMS) released updates to the Workers’ Compensation Medicare Set-Aside (WCMSA) Reference Guide, the Medicare Secondary Payer Recovery Portal (MSPRP) User Guide and the MMSEA Section 111 Medicare Secondary Payer Mandatory Reporting…

CMS has signaled its intent to expand its voluntary WCMSA review program to liability. While a liability review policy has yet to be announced, CMS has made clear it expects the burden of post-settlement medicals should not be shifted to…