Successful Legacy Claim Settlement Initiatives Featured in WorkCompWire Article
Posted on February 15, 2017 by Daniel Anders
As part of its Leaders Speak series, WorkCompWire recently published a two-part article by Tower MSA Partners’ Chief Compliance Officer, Dan Anders, describing how clinically driven settlement initiatives on legacy or “old dog” workers’ compensation claims yield significant cost savings…
Posted on November 2, 2016 by Rita Wilson
In an announcement distributed on November 1, 2016, CMS acknowledged the receipt of many inquiries from the MSP industry regarding procedural changes in the way CMS’s Workers’ Compensation Review Contractor (WCRC) reviews proposed zero-dollar Workers’ Compensation Medicare Set-Aside Arrangement (WCMSA) amounts….
CMS to ‘Consider’ Expanding Its Review Process to Include Liability MSAs
Posted on June 10, 2016 by Rita Wilson
In a News Alert released Thursday, June 9, 2016, the Centers for Medicare and Medicaid Services (CMS) announced is considering expanding its voluntary Medicare Set-Aside Arrangements (MSA) amount review process to include the review of proposed liability insurance (including self-insurance) and…
Enhanced Portal Functionality for Final Conditional Payment Process
Posted on November 10, 2015 by Rita Wilson
In its ‘What’s New’ section, CMS announced on November 9, 2015 that as part of the Strengthening Medicare and Repaying Taxpayers Act of 2012 (the SMART Act), the MSPRP will be modified to include Final Conditional Payment (CP) process functionality…
Managing Chronic Pain in Older Adults
Posted on April 8, 2014 by Rita Wilson
According to the ACPA (American Chronic Pain Association) Resource Guide to Chronic Pain Management, “persistent or chronic pain is prevalent in older adults.” “Nearly one third of all prescribed medications are for patients over the age of 65 years. More than thirty…
Opioid Therapy: Red Flags That Warrant Intervention
Posted on February 24, 2014 by Rita Wilson
Signs that opioid therapy is being abused in a workers’ compensation claim can be difficult to pinpoint. The behavior may not seem consistent due to the nature of the injury, so sometimes it can go undetected. This article provides 5 basic criteria to assist in recognizing…
Medicare Advantage Plans – A New Layer in the Conditional Payment Process?
Posted on November 8, 2012 by Rita Wilson
Over the past few years, much has been written about the mandatory reporting requirements associated with MMSEA Section 111 and the increased interest in ensuring that Medicare is reimbursed for any conditional payments made for a workers’ compensation injury. Unfortunately,…
New Option to Self-Calculate Your Conditional Payment Amount
Posted on January 30, 2012 by Tower MSA Partners
Just released from MSPRC (http://www.msprc.info/). On February 21, 2012, the Centers for Medicare & Medicaid Services (CMS) will implement an option that allows certain Medicare beneficiaries to self-calculate Medicare’s final conditional payment amount prior to settlement. A full explanation, including…
New From MSPRC, A “Self-Calculated Final Conditional Payment Amount” Option
Posted on December 19, 2011 by Tower MSA Partners
The Centers for Medicare & Medicaid Services (CMS) will be implementing an option that will allow certain Medicare beneficiaries to obtain Medicare’s final conditional payment amount prior to settlement. This option will be available in February 2012, for certain settlements…
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