New CMS MSA Review Contractor: Different Name, Same Policy and Procedures
Posted on March 7, 2018 by Daniel Anders
While the review contractor is changing, the Workers’ Compensation Medicare Set-Aside (WCMSA) review policies and procedures remain the same. This was the message related to attendees of the Workers Compensation Review Contractor (WCRC) transition webinar held by CMS, yesterday, March…
What Do Medicare Part D, Medicare Set-Asides and Parenting Have in Common?
Posted on March 2, 2018 by Rita Wilson
For those who have raised children, or are in the process of doing so, one of our biggest challenges is to instill in our children some sort of positive decision-making paradigm in our children. You can call it religious values,…
CMS Webinar to Introduce New MSA Review Contractor
Posted on March 1, 2018 by Daniel Anders
Effective March 19, 2018, Capitol Bridge, LLC will be taking over responsibilities from Provider Resources as CMS’s Workers Compensation Review Contractor (WCRC). CMS has now announced a webinar set for Wednesday, March 7, 2018 at 1:00 PM ET to introduce…
CMS Statement on Opioids and WCMSAs Provides Little Clarity as to Future Review Practices
Posted on December 27, 2017 by Daniel Anders
In a recent post on its website, the Centers for Medicare and Medicaid Services (CMS) acknowledged the opioid crisis in this country, but provided little clarity as to how it intends to address this crisis in its review and approval…
New Commercial Repayment Center Contractor on the Horizon; WCRC Contract Protested
Posted on October 9, 2017 by Daniel Anders
A recent press release from the Performant Financial Corporation announced it has been awarded the Commercial Repayment Center (CRC) contract by the Centers for Medicare and Medicaid Services (CMS). Barring a bid protest, we expect a transition to the new…
CMS to Transition to New MSA Review Contractor
Posted on September 11, 2017 by Daniel Anders
On September 1, 2017, the Centers for Medicare and Medicaid Services (CMS) announced the awarding of the contract for the Workers Compensation Review Contractor (WCRC) to Capitol Bridge, LLC. The $60 million contract is for one-year with the option of…
Practical Implications of the Revised CMS WCMSA Reference Guide
Posted on August 18, 2017 by Daniel Anders
Earlier this month the Centers for Medicare and Medicaid Services (CMS) released a revised Workers’ Compensation MSA Reference Guide (WCMSA) (find Version 2.6 here) with several notable changes and additions impacting its review of MSAs in workers’ compensation cases. The…
Posted on July 12, 2017 by Daniel Anders
While there may be no second chances in life, there is now a second chance for CMS review and approval of an MSA. On July 10, 2017, the Centers for Medicare and Medicaid Services (CMS) quietly rolled out a new…
Denied Claim Zero MSAs: Still Available, but Put Through the Wringer by CMS
Posted on April 28, 2017 by Rita Wilson
In October 2016, CMS made an unannounced policy change which effectively eliminated the ability to obtain a Zero MSA approval from CMS based upon a complete denial of the claim, without a supporting judicial decision. After only a couple weeks,…
Posted on January 27, 2017 by Daniel Anders
Tower MSA Partners CEO, Rita Wilson, was recently interviewed by WorkersCompensation.com following her participation in a January 24, 2017 “State of MSP” webinar presented by the National Alliance of Medicare Set-Aside Professionals (NAMSAP). Workerscompensation.com asked Rita to comment on CMS’s…
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