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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.

Understanding of MSA Compliexity

Medicare Secondary Payer: Issues that Will Impact Work Comp in 2021

Medicare Secondary Payer compliance will continue to be a challenge for the claim team members and …

Medicare Secondary Payer: Issues that Will Impact Work Comp in 2021Read More

Get a Second Opinion on Your Medicare Set-Aside (MSA)

Ever get close to settling a claim only to find the Medicare Set-Aside is a problem? Either the …

Get a Second Opinion on Your Medicare Set-Aside (MSA)Read More

Settlement

Settle More Workers’ Compensation Claims During the COVID-19 Pandemic

The coronavirus pandemic has inspired many of us to take on do-it-yourself projects, especially …

Settle More Workers’ Compensation Claims During the COVID-19 PandemicRead More

8 Ways to Stay Out of Medicare’s Penalty Box

If a non-group health plan — liability, no-fault, or workers’ compensation insurer — fails to …

8 Ways to Stay Out of Medicare’s Penalty BoxRead More

Reduce your workers' comp case study

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, …

A Prescription for Settling Legacy ClaimsRead More

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

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 ORM

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

msa fear

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

Understanding of MSA Compliexity

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

Generic drugs in workers' compensation

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

Reduce your workers' comp case study

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

Optimize MSAs

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

Keep Liability Settlements Out of Medicare’s Crosshairs

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

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