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Medicare Set-Aside

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MSP Manual Update Puts MSAs into Motion at Provider Level

March 2023

MSP Manual Update Puts MSAs into Motion at Provider Level

Author: Michelle Allan, Esq. A recent change to a Medicare Secondary Payer Manual brings Medicare Set-Asides into play for doctors and other medical service providers, who as of March 24 are obligated to direct bill those trusts. Just a year after Medicare’s Workers’ Compensation Medicare Set-Aside Reference Guide update strenuously emphasized the utility of MSAs in […]

CMS to Host Workers’ Compensation Medicare Set-Aside Webinar

February 2022

CMS to Host Workers’ Compensation Medicare Set-Aside Webinar

Author: Ciara Koba Following the release of the updated Workers’ Compensation Medicare Set-Aside Arrangement (WCMSA) Reference Guide, Version 3.5, dated January 10, 2022, we have been waiting for CMS to announce a webinar to discuss the clarification on use of non-CMS approved products to address future medical care that this updated guide contained.  According to the […]

CMS Discredits Non-Submits in WCMSA Reference Guide Version 3.5

January 2022

CMS Discredits Non-Submits in WCMSA Reference Guide Version 3.5

Author: Michelle Allan Whether or not to submit has through the years been touted as the main event at dozens of national conferences and seminars, promoting these sessions like MSP cage-match battles, pitting experts against one another in impassioned debate. Today Medicare put to rest more than a decade of MSP industry contention regarding whether Workers’ […]

2022: LMSA Pushed to February, $750 Threshold Remains

December 2021

2022: LMSA Pushed to February, $750 Threshold Remains

Author: Michelle Allan It’s beginning to look a lot like LMSA rules aren’t happening in 2021. So if this was your wish from Santa, you must be on The Naughty List. This week, the Office of Information and Regulatory Affairs (OIRA) updated the timeframe from October 2021 to February of 2022. And for all of the […]

More PAID Act Updates 9/9

August 2021

More PAID Act Updates 9/9

Author: Michelle Allan On September 9, 2021, CMS will host its second informational webinar relative to the PAID Act. Per CMS’ Alert dated August 9, 2021, the webinar “will offer important PAID Act reminders and focus on the details of the upcoming testing period, which will begin on September 13, 2021.” As with the roll-out webinar […]

PAID Updates Added to Companion Guide Version 5.7

August 2021

PAID Updates Added to Companion Guide Version 5.7

Author: Michelle Allan In conjunction with other ongoing efforts to notify Responsible Reporting Entities of updates relative to the PAID Act (Provide Accurate Information Directly), CMS has published an updated Benefits Coordination & Recovery Center (BCRC) 270/271 Health Care Eligibility Benefit Inquiry and Response Companion Guide for Mandatory Reporting Non-GHP Entities Version 5.7, accessible here: 270/271 […]