by Greg Bashaw | Jan 5, 2025 | Medicare Sec. 111 Reporting, Penalties
For many, many years, the general attitude of property and casualty insurance companies toward Medicare compliance has been some version of this: I think we take Medicare compliance seriously enough. And if we make any mistakes along the way, it’s really not a big...
by Greg Bashaw | Mar 16, 2022 | Medicare Set Asides
Earlier this year, CMS updated the Workers’ Compensation Medicare Set-Aside Arrangement (WCMSA) Reference Guide Version 3.6 with a new section – Section 4.3. The language of that section seemed to require the submission of WCMSAs to CMS for review or be subject to...
by Greg Bashaw | Mar 2, 2022 | Penalties
CMS has submitted both the FINAL rule regarding civil monetary penalties and a PROPOSED rule regarding post-settlement/judgment medicals (including, purportedly, rules governing future medicals in liability cases – or LMSAs) to the Office of Information and Regulatory...
by Greg Bashaw | Jan 12, 2022 | Medicare Set Asides
On January 10th, 2022, CMS released Version 3.5 of its Workers’ Compensation Medicare Set-Aside (“MSA”) Reference Guide that included an important “clarification” regarding workers’ compensation MSA allocations. To make this clarification, CMS added a new section –...
by Greg Bashaw | May 5, 2021 | Medicare Set Asides, Structured Settlements
On April 19, 2021, the Centers for Medicare & Medicaid Services (“CMS”) released an updated version of their Workers’ Compensation Medicare Set-Aside Arrangement (“WCMSA”) Reference Guide, version 3.3. Section 1.1 of the WCMSA Reference Guide always lets you know...
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