CMS
What Does an MSA Cover?
Do you have cases that need a Medicare Set-Aside (MSA)? Or maybe a Medical Cost Projection is a better fit? Let’s review what IS and IS NOT in a Medicare Set-Aside. Medicare Set-Asides cover the basics of medically necessary treatments and prescriptions: Medicare Part A Covers: Hospital care, home health care, skilled nursing facility,…
Read MoreCMS Guidance on WCMSA’s Section 4.3
We like to remind the legal industry that Medicare Set-Asides (“MSAs”) don’t exist under the law. They’re a very good idea considering the consequences to a claimant or plaintiff of not having an MSA. Remember that CMS’s recent update to the WCMSA User Guide has a new section 4.3 with CMS warning us of…
Read MoreRyan Weiner, Esq., COO of MASSIVE, to Present at WILG Webinar on CMS Update, April 11, 2022
Join WILG and MASSIVE for an online seminar to help answer your questions about the new MSA language on CMS’ update. Ryan’s presentation will include: Overview of WCMSA User Guide 3.6, Section 4.3 updated language Who is at risk under this new language? How to mitigate risk with defense-generated MSAs Q&A Session This…
Read MoreThe New Rules of MSAs
Medicare Set-Asides (“MSAs”) don’t exist under the law. CMS insists MSAs are a voluntary process. But – are they truly voluntary? CMS’s recently updated WCMSA User Guide has a new section 4.3 that makes it seem like MSAs are essentially mandatory. The good news is that CMS has laid out all of the reasons…
Read MoreMAJ Lunch and Learn Q&A
MASSIVE COO and attorney, Ryan Weiner, Esq., recently presented to the Michigan Association for Justice on how Michigan’s No-Fault Reform impacts Medicare liens. Michigan’s no-fault has changed from always unlimited to various limits (including, for some drivers, unlimited). The following are questions Ryan received during that presentation and Ryan’s answers. Question: “CMS will…
Read MoreUnderstand the Obligations of Plaintiff/Lawyer Related to No-Fault Conditional Payments
Medicare has five different file designations that can be opened by more than eight different settlement types. It’s possible to have each of those open on one case (if that case is a motor vehicle accident where the plaintiff was at work). So who pays Medicare? And when? Settlement/Payment Type Medicare File Type …
Read More2022 WILG Longshore Conference
As a WILG Gold Level Affinity Partner, MASSIVE looks forward to connecting with our fellow members and participating in the WILG Longshore Conference in New Orleans March 25-26, 2022. MASSIVE’s COO, Ryan Weiner, Esq. will be presenting the complex topic of “How Defense Uses Non-Submit MSAs” on March 26 at 11:15 a.m. (CST), something…
Read MoreWhat is a “Non-Submit” or “Evidence-Based” MSA?
Medicare Set-Asides are a specialized product where Medicare has set forth a special process. The general idea is that an MSA will pay for medical care related to sued-for injuries so that Medicare doesn’t pay. But what happens when the MSA industry decides it wants to cut Medicare from the approval process? Medicare says…
Read More2022 Medicare Recovery Thresholds
CMS has announced Medicare lien minimum recovery thresholds for 2022 settlements. Those thresholds are unchanged for the sixth straight year. These minimum settlement amount recovery thresholds essentially create a safe harbor for the smallest of settlements (excluding settlements that include exposure-based injuries). You can find that CMS alert here. Here are some highlights: Plaintiffs…
Read MoreLien Resolution & MSP Compliance CLE *register today*
Join us tomorrow as we partner with Ametros & WILG to learn* about solutions in claims resolution, MSP compliance, and professional administration. *CLE Credit available in selected states. Topics will include: • New Requirements in Medicare Consent to Release Forms: Beginning on April 1, 2020, the Centers for Medicare & Medicaid Services (CMS) will require…
Read More