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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.

MSP Manual Update Puts MSAs into Motion at Provider Level

A recent change to a Medicare Secondary Payer Manual brings Medicare Set-Asides into play for …

MSP Manual Update Puts MSAs into Motion at Provider LevelRead More

MD Law Firm Settles with DOJ for Failure to Reimburse Conditional Payments

In a recent publication, the U.S. Attorney’s Office for the District of Maryland has confirmed that …

MD Law Firm Settles with DOJ for Failure to Reimburse Conditional PaymentsRead More

Section 111 Civil Monetary Penalty Rulemaking is Delayed

Authored by: Ciara F. Koba, Esq., BSN Non-Group Health Plan reporting entities have been waiting …

Section 111 Civil Monetary Penalty Rulemaking is DelayedRead More

2023 MMSEA Section 111 Reporting Updates

CMS opened 2023 with a series of updates to the NGHP Section 111 User Guide. First, on January 9, a …

2023 MMSEA Section 111 Reporting UpdatesRead More

Social Security Disability, Medicare, and Medicaid; Oh My!

Federal government disability and medical insurance programs cause problems in settling workers’ …

Social Security Disability, Medicare, and Medicaid; Oh My!Read More

Preparing for the Final Rule: Section 111 Common Mistakes, Misconceptions and Mishaps

Ciara Koba, Esq. of Allan Koba and Bridget Smith, JD, MSCC, CMSP of IMPAXX discuss Section 111 …

Preparing for the Final Rule: Section 111 Common Mistakes, Misconceptions and MishapsRead More

Tips and Traps to Effective Medicare Secondary Payer Compliance

By now, almost every member of the claim management team knows about the dangers of Medicare in …

Tips and Traps to Effective Medicare Secondary Payer ComplianceRead More

Tips and Traps to Effective Medicare Secondary Payer Compliance

By now, almost every member of the claim management team knows about the dangers of Medicare in …

Tips and Traps to Effective Medicare Secondary Payer ComplianceRead More

Experts Explain How to Prevent Losing Continuation of Care Post-Settlement

Here’s a scenario; an injured individual settles their workers’ compensation claim. A Medicare …

Experts Explain How to Prevent Losing Continuation of Care Post-SettlementRead More

Medicare Secondary Payer Compliance Claim Handling Tips

The Medicare Secondary Payer Act has required members of the claim management team to add another …

Medicare Secondary Payer Compliance Claim Handling Tips Read More

Tips for Navigating the Evolving Medicare Set-Aside Landscape

OVERVIEW What will the future of Medicare Set-Asides look like? How are Medicare Set-Asides and …

Tips for Navigating the Evolving Medicare Set-Aside LandscapeRead More

Ensure an Individual’s Medicare Set Aside is Maintained Post-Settlement

Medicare Set Asides (MSAs) can be daunting. The issue of settling with one can be so confounding …

Ensure an Individual’s Medicare Set Aside is Maintained Post-SettlementRead More

You Have Your MSA Allocation Report – Now What?

Medicare Secondary Payer compliance remains a hot-button issue in many workers’ compensation …

You Have Your MSA Allocation Report – Now What?Read More

The Devastating Risks of Failing to Comply with Medicare Requirements Post-Settlement

Temporary or permanent loss of Medicare benefits for injured workers and potential financial …

The Devastating Risks of Failing to Comply with Medicare Requirements Post-SettlementRead More

Medicare Secondary Payer Update: Time to Update your Compliance Program

Medicare Secondary Payer compliance plays an integral part in every workers’ compensation claim …

Medicare Secondary Payer Update: Time to Update your Compliance ProgramRead More

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

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