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The MSA – A Nexus of Legal and Medical Interests

By |2020-11-03T10:54:46-05:00November 3rd, 2020|CMS, Government, MSA, Review Process|

Just as no two car crashes are the same, neither are two Workers’ Compensation cases (WC), especially when the need for a Medicare Set Aside (MSA) account is a possibility. To ensure the protection of the interests of both the injured worker and the Centers for Medicare and Medicaid Services (CMS) throughout the WC claim [...]

The New Business “Best Practice:”

By |2020-09-30T11:36:31-04:00September 30th, 2020|Employers, Government, LMSA, MSA|

Last month, we discussed how the lack of CMS guidance in liability cases leaves Medicare and Medicare-eligible people ('Beneficiaries') in the dark about paying for injuries and illnesses they've developed due to exposure to the coronavirus. Many companies count on those populations to make their living. Potential coronavirus exposures that occur in their place of business are [...]

CMS is Hard at Work in Summer 2020

By |2020-07-06T13:04:13-04:00July 6th, 2020|CMS, CMS WCRC, CRC, Government, MSA|

Incoming Changes to WCMSA Activities Even in the face of the health and civic challenges the country is enduring, the Centers for Medicare and Medicaid Services (CMS) maintains its pursuit its institutional goal of keeping its constituents current with evolving standards. Recently, the CMS issued two new directives, one for MSA calculations and one for [...]

Making the Most of an MSA Amended Review Request

By |2020-04-01T12:00:18-04:00April 1st, 2020|Government, MSA, Review Process|

In 2017, when the Center for Medicare and Medicaid Services (CMS) updated its Medicare Set Aside (MSA) Reference Guide, it added a provision that allowed a one-time opportunity to request an ‘amended review' of a conditionally preapproved MSA account. When a case met the required elements of the new rule, claimants and carriers could re-submit [...]

Protect the Future with an MSA

By |2020-03-02T10:07:16-05:00March 2nd, 2020|CMS, Government, MSA|

In the Workers’ Compensation (WC) world, evaluating the appropriateness of a Medicare Set Aside account (MSA) is (or should be) a standard case management practice for any person with a work-related injury who is nearing or over the age of Medicare or Medicaid eligibility. However, because setting up the MSA in a WC case remains [...]

CMS Updates WCMSA Reference Guide

By |2019-12-06T13:19:13-05:00December 6th, 2019|Government, MSA, Review Process|

Everyone updates, including the Centers for Medicare and Medicaid Services (CMS). In October, the CMS released its updated Medicare Set Aside (MSA) reference guide, version 3.0, which replaces version 2.9 released just in January of this year. As participants in the MSA system make changes to reflect the new guidelines, they should be careful to [...]

More Than One Pot – Who Pays for Injured Workers?

By |2019-10-01T10:20:45-04:00October 1st, 2019|Employers, Government, MSA|

Last month's post discussed the history of how and why the 'workers’ compensation' (WC) industry evolved out of medieval 'employment' practices: Employers often demanded that their employees put in long hours under harsh conditions to justify paying them a minimal wage. Workers were subjected to challenging conditions in unsafe factories that exposed them to innumerable [...]

Why Workers’ Comp? Why MSA’s?

By |2019-09-03T10:41:15-04:00September 3rd, 2019|Government, LMSA, MSA|

The Road to Worker Protections For most injured workers, a complete recovery and the ability to return to work are only possible because of the medical and health care services provided by Workers’ Compensation insurance. However, the concept of healthcare support delivered through an employment setting and applied to on-the-job injuries is a recent one, [...]

Mid-Summer Summary and a Quick Look Forward

By |2019-07-31T21:13:51-04:00July 31st, 2019|CMS, Employers, Government, MSA, Opioid Series, Opioids|

It's mid-summer, and many of our readers are off on well-deserved vacations. For those who are still in the office (and are as fascinated as we are by all things ‘workers’ comp'), we are taking this opportunity to offer some updates to one of the major subjects we've been following and to provide a heads [...]

Dr. Criminal: Arrests Made for ‘Pushing’ Opioids

By |2019-06-03T17:30:05-04:00June 3rd, 2019|Employers, Government, MSA, Opioids|

The true cost to the nation's employers of America's opioid crisis is almost inestimable. From lost wages to lost productivity to the thousands of unnecessary deaths caused by the over-prescription of opioids and their subsequent addictions, the value of the losses suffered by individuals, families, communities, and businesses is beyond calculation. Gaining control over the [...]