In a recent post on its website, the Centers for Medicare and Medicaid Services (CMS) acknowledged …
CMS Statement on Opioids and WCMSAs Provides Little Clarity as to Future Review PracticesRead More
Medicare Set Asides (MSAs)
Case Study: 61.4% Savings on MSAs with Integrated Opioid Approach
The workers’ compensation industry’s efforts to reduce unnecessary opioid use doesn’t seem to have …
Case Study: 61.4% Savings on MSAs with Integrated Opioid ApproachRead More
Don’t Plan to Fail: Best Practices for Addressing Medicare Advantage Plan Reimbursement
Benjamin Franklin must have been contemplating Medicare Advantage Plan reimbursement when he …
Don’t Plan to Fail: Best Practices for Addressing Medicare Advantage Plan ReimbursementRead More
Medicaid Recovery Rights – What You Need to Know
It’s been characterized as “almost unintelligible to the uninitiated,” and it’s about to further …
Case Study: $774,583 in Work Comp Savings through MSA Triage
Medicare Secondary Payer compliance has created several challenges for interested stakeholders in …
Case Study: $774,583 in Work Comp Savings through MSA TriageRead More
Practical Implications of the Revised CMS WCMSA Reference Guide
Earlier this month the Centers for Medicare and Medicaid Services (CMS) released a revised Workers’ …
Practical Implications of the Revised CMS WCMSA Reference GuideRead More
Accuracy in Section 111 Reporting of ORM Vital to Avoiding Unnecessary Repayment Demands from Medicare
While the Commercial Repayment Center (CRC) has faced some valid criticism over the course of the …
Second Chance with MSA Approval: New CMS Policy Allows for Review of a New MSA Post a Prior Approval
While there may be no second chances in life, there is now a second chance for CMS review and …
Case Study: 60% MSA Savings From CMS Re-Review Process
While the Workers’ Compensation Medicare Set-Aside (WCMSA) review process remains voluntary, it is …
Case Study: 60% MSA Savings From CMS Re-Review ProcessRead More
Case Study: Obtaining a Legal Zero MSA
There are many barriers to settling workers’ compensation cases that have placed a significant …
Denied Claim Zero MSAs: Still Available, But Put Through Wringer by CMS
In October 2016, CMS made an unannounced policy change which effectively eliminated the ability to …
Denied Claim Zero MSAs: Still Available, But Put Through Wringer by CMSRead More
Identify and Realize Medicare Set-Aside Savings Opportunities
The rising costs of workers’ compensation come in many different forms. One such way members of …
Identify and Realize Medicare Set-Aside Savings OpportunitiesRead More
CMS Provides Another Piece of the Puzzle on Future LMSA Policy
While the Centers for Medicare and Medicaid Services (CMS) has yet to formally issue a policy …
CMS Provides Another Piece of the Puzzle on Future LMSA PolicyRead More
In a Volatile Political Climate MSAs & Professional Administration Provide Much Needed Assurances
These first few of months of 2017 have been, to put it mildly, volatile in national politics. The …
2 New Tricks for New Workers’ Comp Claims
Published originally on February 6, 2017 on WorkComp Wire As discussed in last week’s …
How Old Dog Workers Comp Claims Can Learn New Tricks
Published originally on January 30, 2017 - WorkCompWire By Dan Anders, Chief …
How Old Dog Workers Comp Claims Can Learn New TricksRead More
CMS MSA Review Expansion to Liability Planned for 2018
We are not even a week into 2017, but already have news to share regarding Medicare’s planned …
CMS MSA Review Expansion to Liability Planned for 2018Read More
Christmas Miracles Can Happen in Workers’ Compensation
For those of us who deal with MSAs, it’s all too common to see claims at settlement time that …
Christmas Miracles Can Happen in Workers’ CompensationRead More
Use Non-Therapeutic Pharmacy Changes to Reduce Your MSA Costs
Prescription drug costs represent both a source of national attention and a major cost driver of …
Use Non-Therapeutic Pharmacy Changes to Reduce Your MSA CostsRead More
Using Evidence Based Medicine In The MSA Review Process
Rita Wilson, CEO, Tower MSA Partners ... on using evidence based medicine in the MSA review …
Using Evidence Based Medicine In The MSA Review ProcessRead More
