Establishing the MSA in the WC Case

By |2020-02-07T10:43:13-05:00February 7th, 2020|CMS, MSA, Settlement|

In today's post, we are completing our series on the how's and why's of the Medicare Set Aside (MSA) account. Last year, we wrote about the evolution of worker protection laws, the role of third-party liability workplace injuries, and why America's Medicare system gets involved in injured worker cases.   Next, we will explore how [...]

AZ SB 1100 – Speeding the Process of Settlement

By |2018-06-28T10:16:03-04:00June 28th, 2018|MSA, Settlement|

Arizona has taken a step toward fully resolving the medical coverage uncertainties that linger when its workers suffer injuries on the job. While many workers’ compensation (WC) injuries resolve relatively quickly, others take longer to respond to treatment in both the acute and post-acute phases, resulting in an extended recovery period and higher healthcare costs [...]

Nebraska Revises WCMSA Approval Process

By |2018-05-31T12:23:00-04:00May 31st, 2018|CMS, MSA, Review Process, Settlement|

The Mandatory Second Payer Act (MSP) prohibits the Centers for Medicare and Medicaid Services (CMS or Medicare) from making injury-related payments for Medicare beneficiaries if there's another carrier or provider with a primary obligation to do so. When working to settle an injury claim by a Medicare beneficiary, the parties to the case must take [...]

Double Damages? Where’s the Risk?

By |2018-04-30T09:36:21-04:00April 30th, 2018|Settlement|

Federal law protects the funding used by Medicare to cover healthcare costs of injured beneficiaries. When another entity - a primary insurance or healthcare plan (the primary payor, or PP) - has a legal obligation to cover those costs, the Medicare Secondary Payor Act (MSP) authorizes Medicare to obtain reimbursement from that PP entity of [...]

CMS Revisions Permit Amended Reviews for MSA

By |2017-07-17T12:16:55-04:00July 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 |2017-07-17T11:18:01-04:00July 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 |2017-06-28T13:18:25-04:00June 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 [...]