Join Us at the WILG Annual Conference October 16-18, 2017

As proud Gold Level Advocates of WILG, we are excited to contribute to this collaborative group dedicated to success! Managing Partner Todd Franklin and Director of Business Development Ahmad Zeki will be presenting to the WILG members at the Annual Convention October 16-18, 2017 in Florida. The topic will be ‘Medicare Set-Asides: What They Do and Do…

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CMS Begins Teaching Providers About MSAs

CMS issued MLN Matters Number SE17019 on September 19, 2017. Its three pages have one clear intent: teach medical providers how to discover whether they should bill Medicare or the patient’s MSA account. Click here for the full text of MLN Matters Number SE 17019. The article concludes with a section called, “Provider Action Needed.”…

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CMS Awards New MSA Review Contract

            CMS has awarded its massive Workers’ Compensation Review Contractor (WCRC) for a whopping $60,759,236.00 to Capitol Bridge, LLC.  This contract is nearly $12,000,000 larger than that awarded to Provider Resources, Inc. for the 2011 contract (PRI’s contract award was initially for approximately $24,000,000.00; however, that amount doubled to $48,000,000.00…

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Medicare Set-Asides are No Longer Set in Stone

The Centers for Medicare & Medicaid Services (CMS) has long followed a clear path toward revising MSAs: You couldn’t. CMS has finally changed its tune. Its newest Workers Compensation Medicare Set-Aside User Guide lays out those changes. First – let’s review the soon-to-be-forgotten, defunct MSA re-review process. The old process did not allow re-review where…

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Update on Liability MSAs: When, Not If

CMS is finally, officially, directly acknowledging that Liability Medicare Set-Aside Arrangements (LMSAs) are coming. Guidance is due. Medicare’s Change Request 9893  and its MLN Matters bulletin on the subject was revised on June 8, 2017. That revision includes the clearest statement that Medicare liens are just part of the puzzle. The newest piece to that…

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Medicare is preparing for LMSAs. Are you ready?

Liability Medicare Set Aside. If you don’t know what an “LMSA” is yet, you’ll need to learn fast. On February 3, 2017, the Centers for Medicare and Medicaid Services (CMS) published Change Request 9893. It establishes new processes for LMSAs and No-Fault MSAs (“NFMSAs”) effective October 2, 2017. CR 9893 is directed to Medicare Administrative…

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