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…
Lyrica – High Claim Cost Doesn’t Necessarily Mean High Dollar MSAs
Posted on January 13, 2016 by Rita Wilson
Lyrica is one of the most widely prescribed ‘pain’ medications in the workers’ system. Unfortunately, it is also one of the most expensive. Add to that the fact that it is typically prescribed ‘off label’ for injured workers, and you’ve…
Posted on November 17, 2015 by Rita Wilson
Inappropriate and/or unnecessary prescription drugs, along with recommended medical procedures that are recommended, but never performed, are all too common in workers’ compensation claims. Yet they are often overlooked when moving a claim to settlement. But a new tool is…
CMS / WCRC Development Letters…. Essential Information or Delay Tactic?
Posted on January 17, 2014 by Rita Wilson
In the most recent version of the WCMSA Reference Guide, released on November 6, 2013 (COBR-M11-2013-v2.0), CMS announced a series of changes that submitters should expect to see in the WCMSA review process. Of the changes announced, none appeared to…
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