MSA

/MSA

CMS Revisions Permit Amended Reviews for MSA

By |2017-07-17T12:16:55+00:00July 17th, 2017|MSA, Review Process, Settlement|

For the first time, parties involved in a Workers' Compensation Medicare Set-Aside (WCMSA) can request a re-review of the MSA value when they dispute the CMS determination or when the financial circumstances of medical care vary from the approved MSA amount by ten percent or $10,000. In the past, insurers, corporations, and injured persons had [...]

CompEx MSA Awarded Minority-Owned Certification

By |2017-07-17T11:18:01+00:00July 17th, 2017|Certification, MSA, Settlement|

Last month, CompEx MSA National Division LLC (CompEx MSA) received notice that the State of Florida has certified it as a Minority-Owned Florida Certified Business Enterprise. The certification secures our position as a valued vendor of Medicare Set-Aside services within the state and the country and celebrates the fact that our Hispanic American heritage expands [...]

What Could Happen After Settlement?

By |2017-06-28T13:18:25+00:00June 28th, 2017|MSA, Settlement, Uncategorized|

Settling a Workers' Compensation (WC) claim can be a long and arduous journey that many resolve through the establishment of a Medicare Set-Aside (MSA). However, the terms of these legally binding agreements are expected to cover all contingencies over the course of the worker's lifetime. What happens when circumstances change and the conditions of the [...]

A Toxic Trio: WC Injury, Chronic Pain, and Opioid Addiction

By |2017-05-18T18:57:14+00:00May 18th, 2017|MSA|

In April, Health and Human Services chief Tom Price announced that the federal government was issuing to states $485 million in grants for research and development of therapies related to opioid addiction. Funded through the 2015 "21st Century Cures Act," the grants come at a time when America is struggling with a nationwide opioid addiction [...]

Georgia’s “400-Week” Rule Perplexes MSA Participants

By |2017-04-05T16:07:08+00:00March 29th, 2017|MSA, Uncategorized|

For almost all of its history, a settled principle of American jurisprudence is that federal law supersedes state law. When there is a question of which body of law should control in any particular case, when applicable, federal law almost always triumphs. The principle holds true for rules involving the Centers for Medicare and Medicaid [...]

CMS Adds LMSA NFMSA Arrangement Rules

By |2017-04-05T16:07:17+00:00March 10th, 2017|MSA, Uncategorized|

In a continuing effort to contain costs and remain fiscally responsible, the Centers for Medicare and Medicaid (CMS) is finally addressing inconsistencies in its payment processes based on the underlying nature of its Beneficiary's health care claims. Beginning October 1, 2017, the agency will launch two new set-aside procedures, one for Liability Insurance injury claims [...]

CMS Overreaches for Reimbursement

By |2017-04-05T16:07:25+00:00February 24th, 2017|MSA, Uncategorized|

The U.S. District Court for the Central District of California (the Court) recently determined that the Centers for Medicaid and Medicare Service (CMS) cannot seek reimbursement from Worker's Compensation (WC) employers or primary insurers for unrelated medical charges when, in a conditional payment case, the health care provider's bill includes codes for medical conditions unrelated [...]