Posts Tagged ‘MSA’
Ethics in Lien Resolution Webinar
Please join MASSIVE for our webinar “Ethics in Lien Resolution: The Practical Guide to your Decisions” on Tuesday, September 15th at 1pm EDT. We will be discussing how to navigate legal and ethical requirements that law firms face today when handling lien resolution for their clients. Our free webinar will provide you with tools to…
Read MoreLiability Medicare Set-Aside Requirements
The General “Requirements” of an LMSA: A Technical Review Medicare Set-Asides (“MSA”) cannot exist without Medicare’s right to reimbursement first being stated in the law. Those rights arise from the Medicare Secondary Payer Statute, 42 U.S.C. § 1395y(b)(2) (“MSP”) and 42 C.F.R. 411 et. seq. Then we must note that, MSP regulations and Centers for…
Read MoreMedicare Set-Asides in California
California Applicant Attorneys Can Petition for Reimbursement for Costs Associated with Medicare Set-Asides (MSA). Specific language regarding reimbursement of an Medicare Set-Asides is found under Petition of Costs in Section 10545 (formerly section 10451.3): (a) Petition for costs is a petition seeking reimbursement of an expense or payment for service not allowable as a lien…
Read MoreMedicare to Pay for Acupuncture to Lower Opioid Use
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…
Read MoreCMS’s New Medicare Set-Aside Contractor
CMS can finally move forward with its new Medicare Set-Aside (“MSA”) contractor. While that contract was awarded in September, two organizations challenged that award arguing that CMS “unreasonably failed to permit offerors to make oral presentations and failed to conduct discussions.” More interesting, Arch Systems, LLC argued that the agency “failed to reasonably evaluate the…
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