A Second Bite at the WCMSA Apple?
The Centers for Medicare & Medicaid Services (CMS) Removes Maximum Time Limit to use Workers’ Compensation Medicare Set-Aside Arrangement (WCMSA) Amended Review Process Do you have cases that you cannot settle due…
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Medicare Aims to Shut Down Non-CMS-Approved WCMSAs
The Centers for Medicare and Medicaid Services (CMS) issued an updated Workers’ Compensation Medicare Set-Aside Arrangement (WCMSA) Reference Guide – Version 3.5, on January 10, 2022. In that Reference Guide, CMS reiterated…
Medicare Provides New Way to Terminate Ongoing Responsibility for Medicals (ORM)
The Centers for Medicare and Medicaid Services (CMS) issued an updated Section 111 NGHP User Guide – Version 6.4, on June 11, 2021. CMS will now allow the termination of ORM if the…
Centers for Medicare and Medicaid Services (CMS) Maintains $750 Reporting Threshold
The SMART Act requires CMS to annually review the costs associated with the collection of Medicare conditional payments and set forth a threshold amount applicable to settlements, judgments, awards, or other payments…
Medicare Liens: Another Concern Prior to Settlement?
In our last post, we discussed the issues posed by ERISA liens and how the presence of an ERISA lien can complicate a potential settlement. Another similar issue that complicates settlements is…