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The Medicare Set Aside Re-Review and Amended Review

The Centers for Medicare & Medicaid Services (CMS) issued its new reference guide (Version 3.5) back in January 2022. According to Section 16 CMS can re-review a proposed MSA (Section 16.1) and/or conduct an amended review (Section 16.2). This blog discusses how the process works.

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Appealing a Medicare Denial | What You Should Know

The monies in your Medicare Set-Aside account have all been spent and now you must rely on Medicare to pay the rest. But what happens when Medicare refuses? This blog discusses the appeals process and how MSA Meds can help you.

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What to Know About Workers’ Compensation & Medicare Set-Asides

The insurance carrier has finally returned your calls and wants to settle your client’s workers’ compensation case. Great news, but make sure the news is actually great. This blog discusses if your client is getting the best settlement and potential strategies for maximizing it.

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COVID-19 Wrongful Death Claims | What to Know

In two and a half short years, COVID-19 has profoundly altered our daily lives. This blog discusses what happens when a loved one contracts the disease and dies due to someone else’s negligence as well as potential strategies for receiving compensation.

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Non-Submit MSAs: Buyer Beware!

On January 11, 2022, CMS released new guidelines regarding “Non-Submit” Medicare Set-Aside Allocations. Under §1.1, of Version 3.5 of its Workers’ Compensation Medicare Set-Aside Arrangement Reference Guide (Guide) “Clarification has been provided regarding the use of non-CMS-approved products to address future medical care (Section 4.3)” as follows: “A number of industry products exist with the […]

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Can I borrow a couple of bucks? Medicare conditional payments

Medicare is a government program that provides health insurance benefits to those above 65 years of age, the disabled, and those with end-stage renal disease. Prior to 1980, Medicare generally paid for medical services whether or not the Medicare beneficiary was also covered by another health plan. Then the Medicare Secondary Payer law (MSP) was […]

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