Fighting For You - CMS Alert

CMS recently indicated that changes had been made to its review of MSA proposals involving denied injuries. These changes could have negatively impacted the amount required for Medicare Set-Asides involving denied injuries and greatly increased the difficulty involved in obtaining CMS approval of MSAs without funds for denied conditions.

CMS suggested that either a court ruling, following a hearing on the merits of the claim, addressing the compensability of the injuries or medical records from the treating physician, indicating that no future treatment of the denied injuries is needed on an industrial basis, would be required. It appeared that CMS would not treat a condition as denied without this documentation.

We immediately contacted CMS and challenged this unreasonable change in policy which occurred with no forewarning and could have negatively impacted our clients. CMS has now issued an alert confirming that its former policies will remain in place and any changes to its policies in the future will be published prior to taking effect. At Carr Allison Medicare Compliance Group, we're fighting for you.

The full CMS Alert can be found here.

#CMS #MSA #Compensability

Recent Posts

© 2020 Carr Allison Medicare Compliance Group

100 Vestavia Parkway

Birmingham, AL 35216

P: 205.949.2949

F: 205.822.2057



  • LinkedIn - White Circle
  • Twitter - White Circle


Required statement from the AL State Bar:  No representation is made that the quality of legal services to be performed is greater than the quality of legal services provided by other lawyers.  Any recoveries and testimonials are not an indication of future results. Every case is different, and regardless of what friends, family, or other individuals may say about what a case is worth, each case must be evaluated on its own facts and circumstances as they apply to the law. The valuation of a case depends on the facts, the injuries, the jurisdiction, the venue, the witnesses, the parties, and the testimony, among other factors.  Disclaimer.