Medicare set asides News

Viewpoint: CMS’ Liability Medicare Set Aside Proposal is Bad Policy

It’s a scenario every senior citizen fears—getting seriously injured in an accident. Whether it’s a slip and fall at the grocery store or getting hit by a car crossing the street, the question of “who pays?” often isn’t far from …

How New Technology Can Modernize the Painfully Outdated MSA Process: Viewpoint

Ask claims adjusters what they think of Medicare Set-Asides (MSAs) and you’ll likely get a wide range of answers. While most would agree, in theory, that MSAs serve a valid purpose, the way they are constructed today is labor-intensive, slow, …

MSP Changes Include Penalties, Review Criteria, Double Damages: Viewpoint

As we approach the halfway point of 2019, Medicare Secondary Payer (MSP) continues to be one of the most rapidly evolving areas of compliance in claims. On the horizon are possible significant changes relating to each compliance point: Section 111, …

Viewpoint: What’s Hiding in Your Medical Records?

Every year, organizations pay out millions of dollars in settlements for workers’ compensation claims for services they often shouldn’t. I’m not talking about insurance fraud but rather an unseen problem that routinely balloons out of control. It is vital to …

Protecting Medicare’s Interests on Claims Not Meeting Review Threshold; is an Allocation Needed?

Since Medicare released the July 23, 2001 “Patel” memorandum concerning workers’ compensation and many subsequent memoranda, there have been numerous guidelines for the evaluation and submission of Medicare set asides (MSA). We are all aware of the review thresholds: Medicare …

Commentary: It’s Not All About the Medicare Set Aside

As 2014 was coming to an end, I reflected back on the many years I have been involved in negotiating and resolving workers’ compensation claims. As you might surmise, many changes have occurred throughout the years including the introduction of …

Tips on Handling Structured Settlements in Workers’ Comp Claims

The experts provided tips for adjusters working claims that could benefit from the use of a structure. Seek out a specialist. “As soon as you realize you’re dealing with somebody who’s Medicare eligible or will be soon, that’s when you …

Workers’ Comp Structured Settlements Beneficial in Medicare Set Asides

Structured settlements can be beneficial in resolving workers’ compensation claims involving Medicare Set Asides (MSAs), according to industry experts. Workers’ compensation injuries involving permanent disability are prime candidates for structured settlements because a structured settlement takes into account a person’s …

Bill Aims to Fix Problems with Medicare Set-Asides for Workers Compensation

The insurance industry is among the business and legal interests applauding legislation to resolve delays and inconsistencies in Medicare’s approval process for set-aside funds for injured workers’ claims. Medicare requires that funds be set aside in trust for future medical …

The Mystery of Medicare Set Asides Continues

As most adjusters and insurers are aware, effective Jan. 1, 2012, all liability, no-fault, self-insured and workers compensation insurers should be reporting all bodily injury open claims to Medicare. That’s why it is so important to ask what the Medicare …