Category Archives: Administration

Administration, Blog, LMSA, Medicare Set Aside, WCMSA

As a follow-up to our recent blogs regarding a change in the Workers’ Compensation Review Contractor (WCRC) and the new WCRC reviewing Liability Medicare Set-Asides (LMSAs), CMS has now released the official solicitation for the award. The solicitation can be found here, and our latest prior blog on this topic can be found here. The solicitation states that proposal bids are due …
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Call to Action: The Opioid Epidemic and WCMSAs

09 May 2016 Administrator No Comments

Administration, Blog, Legal/Legislative News, Medicare Jurisdiction, Medicare Set Aside

Franco Signor took an important step last week to inform the White House of a practice by CMS with regard to WCMSAs and the current opioid epidemic.  We have all heard the statistics and agree that action must be taken with regard to overuse and the over prescribing of opioids in the United States.  We applaud the administration’s recent efforts …
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Administration, Blog, WCMSA

On 2/11/2014, CMS requested from the Industry regarding its proposed expansion of the re-review process for a WCMSA.  CMS has always allowed its contractor to conduct re-reviews for mathematical errors or where certain records were omitted with the original submission, but after years of Industry concerns is considering this important expansion of the process. CMS has agreed to take comments …
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Administration, Blog, Medicare Secondary Payer News, Medicare Set Aside, WCMSA

On 2/11/2014, CMS issued an important request for comment to expand WCMSA Re-Review Process.  Today, the WCMSA Re-Review process is limited to situations where: 1) CMS has notified the submitter of missing documentation; or 2) A mathematical error was made by Medicare’s review contractor of the WCMSA.  These limited situations have proved less than adequate for most situations where obvious errors could …
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Administration, Blog, Medicare Conditional Payments, Medicare Jurisdiction

The stalemate in D.C. has now reached the front-line adjuster’s desk.  Non-essential employees for most Federal Agencies have been furloughed and this includes key personnel within the Centers for Medicare & Medicaid Services (CMS) and Social Security Services Administration (SSA)  who work on Medicare Secondary Payer compliance.  CMS contractors that work on Medicare Secondary Payer Compliance are not impacted and …
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