MSAs and Reversionary Interests

Doctor with Stethoscope

Workers Compensation attorneys know the biggest trend in MSAs has little to do with the MSA itself. That trend, of course, is the reversionary interest that says unused funds will revert to the insurance carrier’s control if the claimant/plaintiff passes away. So what does Medicare think of reversionary interests?   Nothing.   Medicare has no…

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MASSIVE’s Ryan Weiner Presenting at the Medicare Secondary Payer Compliance for Beneficiaries Conference in March 2021

Ryan Weiner, COO of MASSIVE and long-time authority on liability, no-fault, and workers’ compensation conditional payments, will be presenting at the virtual Medicare Secondary Payer Compliance for Beneficiaries Conference on Tuesday, March 23, 2021 beginning at 1:05 ET. Ryan will be covering Conditional Payment Resolution.  Key content to be discussed at the conference includes:  Mandatory Insurer Reporting  Medicare Set-Aside Allocations  Real-World Applications  And much more!  Please join Ryan on March 23 at 1:05 ET by…

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Lien 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…

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New York’s Work Comp: New Settlement Rules

ny sec 32

Future Medical Allocations As of March 2, 2020, New York has instituted a new indemnification policy for Workers’ Compensation cases. This change will make future medical allocations more important in order to obtain Workers’ Compensation Board approval. While the policy still requires New York Work Comp attorneys to enter into settlement agreements under specific Section 32…

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Medicare to Pay for Acupuncture to Lower Opioid Use

medicare to pay for acupuncture

CMS announced a coverage determination that will allow Medicare to pay for acupuncture that treats chronic low back pain. This new coverage is highly consequential in the legal industry as the stated purpose is to expand options that reduce opioid use. Opioids just so happen to be a major expense in Medicare Set-Asides (MSAs). Health…

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CRC Transition Begins Today (February 7, 2018)

Please remember Medicare liens for what it considers No-Fault and Workers’ Compensation files may not change for a few days. Performant Recovery, Inc. officially takes over tomorrow, February 8, 2018; however, CGI is handing off all data beginning today, February 7, 2018. All CRC files will re-start processing (mail, faxes, etc.) on Monday, February 12, 2018.…

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Liability MSAs on the Horizon. Will they or won’t they?

            If you feel like CMS is treating Liability Medicare Set-Asides like a Sitcom love story, you’re not alone. Like the transition to ICD-10 and the implementation of Mandatory Insurer Reporting, the “will they or won’t they” of LMSAs is years in the making. CMS gave us a great cliffhanger…

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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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