If a non-group health plan — liability, no-fault, or workers’ compensation insurer — fails to …
Medicare Set Asides (MSAs)
When settling a claim make sure to consider any implications with Medicare Set-Asides. Medicare requires companies to fund future liabilities and there are fines for not doing so.
Case Study: $101,312 Savings Through MSA Amended Review Process
Not every workers’ compensation claim gets settled on the first try — even when there has been a …
Case Study: $101,312 Savings Through MSA Amended Review ProcessRead More
A Prescription for Settling Legacy Claims
The impact of COVID-19 on the workers’ compensation system is just beginning to be felt. Workers, …
Increased Penalties are Coming for Incorrect Medicare Secondary Payer Reporting
The federal agency that oversees Medicare is seeking to ramp up enforcement of its reporting …
Increased Penalties are Coming for Incorrect Medicare Secondary Payer ReportingRead More
4-Step Strategy to Successfully Settle Workers’ Comp Claims
Getting to a settlement can and should be a win-win for both payers and the injured worker. While …
4-Step Strategy to Successfully Settle Workers’ Comp ClaimsRead More
CMS Expands MSA Amended Reviews & Modifies Consents To Release In Updated Reference Guide
CMS recently released Version 3.0 of its WCMSA Reference Guide, what we informally call the “MSA …
CMS Expands MSA Amended Reviews & Modifies Consents To Release In Updated Reference GuideRead More
How to Control the 5 Variables that Impact MSA Amounts and Approvals
When is the right time to get a Medicare Set-Aside? What medical information is needed? And what …
How to Control the 5 Variables that Impact MSA Amounts and ApprovalsRead More
Terminate ‘Ongoing Responsibility for Medicare’ (ORM) or Invite Big Problems
The famed University of Alabama head coach, Paul “Bear” Bryant said, “when you make a mistake, …
Terminate ‘Ongoing Responsibility for Medicare’ (ORM) or Invite Big ProblemsRead More
Eliminate ‘MSA Fear’ In Upcoming WCI Session in Orlando
Among the biggest fears of many people you may know are heights, snakes — and MSAs. Workers’ …
Eliminate ‘MSA Fear’ In Upcoming WCI Session in OrlandoRead More
Bringing Understanding of MSA Complexities at WCI in Orlando
Medicare Set-Asides are a pain-in-the-neck nightmare for many workers’ compensation stakeholders. …
Bringing Understanding of MSA Complexities at WCI in OrlandoRead More
Case Study: More than $1.5 Million in Savings Through Generic Substitutes
The latest Drug Trend Report from myMatrixx once again showed a substantial cost difference between …
Case Study: More than $1.5 Million in Savings Through Generic SubstitutesRead More
Case Study: $270,917 in MSA Savings Through Physician Follow-up
Developing a Medicare Set-Aside is not only a time-consuming and arduous process, but can also be …
Case Study: $270,917 in MSA Savings Through Physician Follow-upRead More
Steps to Optimize Medicare Set Asides Before — and After — Settlement
Most workers’ compensation practitioners agree: Medicare Set-Asides can be a pain in the neck. It …
Steps to Optimize Medicare Set Asides Before — and After — SettlementRead More
12 Questions and Metrics to Assess Work Comp MSA Cost Drivers
A thoughtful and critical review of your Medicare Secondary Payer (MSP) compliance …
12 Questions and Metrics to Assess Work Comp MSA Cost DriversRead More
6 Steps to Keep Liability Settlements Out of Medicare’s Crosshairs
No one likes to pay for items that are not their responsibility. This statement is true of the …
6 Steps to Keep Liability Settlements Out of Medicare’s CrosshairsRead More
Case Study: $951,189 in Savings Through MSA Optimization
Attention to detail cannot be overstressed when it comes to finalizing Medicare Set-Asides. The …
Case Study: $951,189 in Savings Through MSA OptimizationRead More
Proposed PAID Act Intends to ID Medicare Part C, Part D and Medicaid Enrollees for Insurers
On 5/18/2018, the Provide Accurate Information Directly (PAID) Act was introduced in Congress for …
Proposed PAID Act Intends to ID Medicare Part C, Part D and Medicaid Enrollees for InsurersRead More
8 Steps to Obtain Faster, More Accurate Medicare Set-Asides
Medicare Set-asides can take time, money and valuable resources in the claim settlement process. …
8 Steps to Obtain Faster, More Accurate Medicare Set-AsidesRead More
Case Study: $13,885.64 in Savings Through Resolution of Conditional Payment Recovery Dispute
Complying with the ever-changing rules and regulations covering Medicare Secondary Payer issues is …
CRC Contractor Change Brings New Team to Medicare Conditional Payment Recovery Efforts
On Thursday, January 18, 2018, the Centers for Medicare and Medicaid Services (CMS) held a webinar …
CRC Contractor Change Brings New Team to Medicare Conditional Payment Recovery EffortsRead More
