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The Gavel
Settlement planning is the process of ensuring that a plaintiff who has significant disability, lacks capacity, or has a complex financial situation will receive his or her litigation proceeds in such...
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CMS Offers Chance at Second Review
One of the questions we most frequently encounter is, “Will Medicare Re-Consider this MSA if Claimant’s Circumstances Change?”. For some time, the answer has been “No.” However, as of July 10, 2017,...
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LMSA Review on the Horizon? | UPDATE
On June 8, 2016, the Centers for Medicare and Medicaid Services (CMS) issued an announcement noting that they were again considering expanding the Medicare Set-Aside (MSA) voluntary review process to...
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Medicare’s Move from SSN/HICN Numbers to Medicare Beneficiary Identifier (MBI)
The Medicare Access and CHIP (Children’s Health Insurance Program) Reauthorization Act (MACRA) of 2015 requires CMS to remove Social Security Numbers (SSNs) from ALL Medicare cards by April 2019. In...
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Version 2.7 of the WCMSA Reference Guide Published March 19, 2018
The Workers’ Compensation Medicare Set-Aside Arrangement (WCMSA) Reference Guide is written and published by the Centers for Medicare & Medicaid Services (CMS) for the purpose of explaining the...
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WCMSA Submission Guidelines: A Refresher
CMS will review a proposed WCMSA plan when the following workload review thresholds are met: The claimant is a Medicare beneficiary and the total settlement amount is greater than $25,000.00; or The...
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Budget Act of 2018 Limits Medicaid Third-Party Recovery Rights
(Ahlborn Once Again Law of the Land) Just this past February, Congress enacted and the President signed the Bipartisan Budget Act of 2018, which, without much fanfare, fully repealed the expanded...
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New Commercial Repayment Center (CRC) Contractor Takes the Reigns
CMS is responsible for ensuring that Medicare only pays for those services for which it is responsible. It relies upon its umbrella “organization” the Coordination or Benefits & Recovery...
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New Workers’ Compensation Review Contractor in Place
Around the same time Medicare brought in a new CRC contractor, a new Workers’ Compensation Review Contractor (WCRC) was also brought on board. Capitol Bridge won the contract to provide services to...
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LMSA Status – Is CMS Moving Toward Review?
As the new Workers’ Compensation Review Contractor (WCRC) takes over this spring, one of the key questions is whether or not this will have any impact in the liability MSA arena. When CMS was...
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