Trends affecting Workers’ Compensation Medicare Set-Aside Allocations

Capitol Bridge, LLC, the newest Workers’ Compensation Review Contractor (WCRC) for the Centers for Medicare and Medicaid Services (CMS), officially took over on March 19, 2018. Since that time, the Medicare Set-Aside (MSA) industry has noticed aggressive changes in the Workers’ Compensation Medicare Set-Aside (WCMSA) review process, resulting in an increase in WCMSA allocations. At … Read moreTrends affecting Workers’ Compensation Medicare Set-Aside Allocations

HB 2649 and SB 1514: Congress’ Renewed Attempt to Streamline the Workers Compensation and Medicare Set Aside Settlement Process

US House Bill 2649 and US Senate Bill 1514 were filed on June 4, 2015 by US Representative Reichert and US Senator Portman to amend title XVIII of the Social Security Act to provide for the application of Medicare secondary payer rules to certain workers’ compensation settlement agreements and qualified Medicare set-aside provisions. Co-sponsored by … Read moreHB 2649 and SB 1514: Congress’ Renewed Attempt to Streamline the Workers Compensation and Medicare Set Aside Settlement Process

Using California’s Independent Medical Reviews to Challenge the Set Aside Amount

Introduction What happens when Medicare requires that a Workers Compensation Medicare Set Aside include the future costs of medical treatment and prescriptions that may not be covered under a state workers compensation law particular or applicable to the claim? What is CMS’ policy on situations where a state statutory provision, administrative rule, regulatory provision, or … Read moreUsing California’s Independent Medical Reviews to Challenge the Set Aside Amount

2016 Budget Proposal Would Require Reporting of Workers’ Compensation Benefits to Social Security Administration

The Social Security Administration (SSA) has been vocal in the past about its difficulty in obtaining information about workers’ compensation benefits. The primary reason that the SSA has been seeking this information is to reduce social security benefits by way of an SSDI/WC offset. The SSDI/WC offset is a calculation used by the SSA to … Read more2016 Budget Proposal Would Require Reporting of Workers’ Compensation Benefits to Social Security Administration

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