October 26, 2017
As you will recall, on June 11th, 2016 we notified you that CMS issued an alert regarding their intent to consider the review of Medicare Set-asides in both liability and no-fault cases. Earlier today, we received an additional alert confirming that CMS is continuing to consider implementation of a review process in these situations, something we believe further confirms the need to address and protect Medicare’s future interests in liability settlements. As always, we will continue to monitor...
July 19, 2017
On July 10, 2017, CMS issued an updated Workers’ Compensation Medicare Set-aside Portal (WCMSAP) User Guide which includes an expanded re-review process. The re-review process now allows for an Amended Review of cases where projected care has changed so much that a previously approved MSA amount will change by at least 10% or $10,000 (whichever is greater). The new proposed MSA amount can be greater or less than the previously approved MSA amount as long as the difference is at least 10% or $10...
November 11, 2015
On Monday, November 9th, CMS issued an alert regarding the ability to obtain a Final Conditional Payment Amount prior to settlement finalization which states:
"As part of the Strengthening Medicare and Repaying Taxpayers Act of 2012 (the SMART Act), the MSPRP will be modified to include Final CP process functionality by January 1, 2016. This new functionality will permit authorized MSPRP users to notify CMS that a recovery case is 120 days (or less) from an anticipated settlement and request th...
November 20, 2019
November 20, 2019
October 30, 2019
October 21, 2019
September 24, 2019