by Greg Bashaw | Apr 27, 2022 | Medicare Sec. 111 Reporting, Penalties
JOIN US FOR A FREE WEBINAR ON THIS TOPIC ON MAY 18th 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...
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...
by Greg Bashaw | Dec 11, 2020 | Medicare Advantage Plan Liens, Medicare Beneficiary Identification, Medicare Part-D Liens
What Is the PAID Act? On December 11, 2020, President Trump signed the PAID Act into law. Workers’ comp and liability insurers, self-insured entities, and several companies from the Medicare compliance industry have been lobbying Congress for this for several years. ...
by Greg Bashaw | Feb 14, 2020 | Medicare Beneficiary Identification, Medicare Sec. 111 Reporting, Penalties
This short overview of Medicare’s proposed rules regarding Sec. 111 Civil Monetary Penalties is the result of many hours of combing through the informational documents that Medicare released. In addition, we have read several commentaries written by attorneys and...
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