New Opportunities for Amended Review of Medicare Set|Asides

New Opportunities for Amended Review of Medicare Set-Asides

The updated Reference Guide debuts big changes that seem to further the goal of CMS to incentivize the use of their voluntary review and approval process for ...

Medicare set asides: now with fewer amended review restrictions

We view the reduced restrictions on when a Medicare set-aside can go through amended review as a welcome change. Older inventories of claims ...

What's New - CMS

New information regarding upcoming Workers' Compensation Medicare Set-Aside Arrangement (WCMSA) changes are posted as the information becomes available.

A Second Bite at the WCMSA Apple? - Hedrick Gardner

... Medicare Set-Aside Arrangement (WCMSA) Amended Review Process. By ... new proposed amount would result in a 10% or $10,000 change ...

Workers' Compensation Medicare Set Aside Arrangements - CMS

If you choose to submit a WCMSA for review, CMS requires that you comply with its established policies and procedures. CMS will only review ...

Medicare Set-Asides and CMS/Articles/CLM Magazine

Review Thresholds. Should the workers' compensation settlement meet CMS' workload threshold for review, CMS will review a proposed WCMSA. · Re-Review and Amended ...

Medicare Set Aside Amended Review Services - Verisk

... new medical evidence for certain unsettled claims. Verisk's Second Look ... opportunity to submit a new MSA proposal to CMS to help reduce MSA costs ...

Update to the Workers' Compensation MSA Reference Guide ...

Amended Review: Increased Opportunities for Settlement · determining if medical and prescription utilization has changed or if surgeries occurred ...

Workers' Compensation Medicare Set-Aside (MSA) Reference Guide

While Amended Review remains a one-time option to seek reductions in approved but unfunded MSAs, this change affords an opportunity to revisit ...

Medicare Set Asides Frequently Asked Questions - Ametros

“A WCMSA allocates a portion of the WC settlement for all future work-injury-related medical expenses that are covered and otherwise reimbursable by Medicare (“ ...

Workers' Compensation Medicare Set-Aside Reference Guide Update

Of note, CMS has lifted the six (6) year limit on Amended Review—meaning legacy claims with previous approvals formerly too old for ...

The Medicare Set Aside Re-Review and Amended Review

The Centers for Medicare & Medicaid Services (CMS) issued its new reference guide (Version 3.5) back in January 2022.

CMS Removes WCMSA Amended Review Cap - Coincidence or ...

Executive Summary: On May 15, 2023, the Centers for Medicare and Medicaid Services (CMS) released version 3.9 of the Workers' Compensation ...

Medicare Releases Fiscal Year 2023 Data on Workers ...

On December 4, 2023, the Centers for Medicare & Medicaid Services (CMS) released “Workers' Compensation Medicare Set-Aside (WCMSA) Fiscal Year ...

CMS Significantly Expands Amended Review MSA Availability

The Centers for Medicare and Medicaid Services (CMS) announced the expansion of its Amended Review policy to significantly more MSAs.

Update to the Workers' Compensation Medicare Set-Aside ...

We will continue to closely monitor the new CMS regulation, as well as CMS' implementation of same. If you have any questions regarding the new WCMSA regulation ...

Medicare Set-Aside

Of note, CMS has lifted the six (6) year limit on Amended Review—meaning legacy claims with previous approvals too old formerly for reconsideration may now be ...

Medicare Program: Appeal Rights for Certain Changes in Patient ...

Consistent with existing claims appeals processes, Medicare Administrative Contractors (MACs) will perform the first level of appeal, followed ...

WCMSAP User Guide v7.0 April 2024 - COB

On the Case Re-Review Request page, select Option 2. 2. Enter the new proposed Medicare Set-Aside (MSA) amount in the field provided. 3. Click Continue. The ...

Medicare Set Aside

Of note, CMS has lifted the six (6) year limit on Amended Review—meaning legacy claims with previous approvals too old formerly for ...