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On Thursday March 27, 2025, CMS will host a Webinar entitled "Introduction to Medicare Secondary Payer (MSP)?for Beneficiary Representatives" CMS states, "The intent of this webinar is to support the attorney and beneficiary representative communities and review the basics of MSP, Group Health vs. Non-Group Health Coordination of Benefits, and MSP recovery. The presentation will be followed by a question-and-answer session.?" For more details click below. https://lnkd.in/ehuyKy62

CMS RELEASE 01/21/2025!?"Zero-Dollar Set-Asides: Effective July 17, 2025, CMS will no longer accept or review WCMSA proposals with a zero-dollar ($0) allocation. Entities should still consider the parameters available in the?WCMSA Reference Guide (PDF)?to determine whether a zero-dollar WCMSA allocation is appropriate and should maintain documentation to support that allocation."

CMS RELEASE 01/21/2025! "Amended Reviews:?Currently, amended review requests cannot be submitted until 1 year after a WCMSA case has been approved. Effective April 7, 2025, amended review requests will be allowed at any time after a WCMSA case is approved.?"

On January 17, 2025, CMS released an updated the Workers’ Compensation Medicare Set-Aside Arrangement (WCMSA) Reference Guide Version 4.2 January 17, 2025 COBR-Q1-2025-v4.2?which may be found at https://lnkd.in/grm2JUR2 The changes include: 1) The policy regarding unfunded ($0) WCMSA requests with guidelines was added (Section 4.2). 2) Language related to decision guidelines was updated (Section 9.4.3). 3) Example calculations for Intrathecal Pump, Spinal Cord Stimulator, and Peripheral Nerve stimulator replacements were corrected (Section 9.4.5).?

Medicare Secondary Payer Non-Group Health CMS Alert! "Beginning January 1, 2025, the threshold for physical trauma-based liability insurance settlements will remain at $750. CMS will maintain the $750 threshold for no-fault insurance and workers’ compensation settlements, where the no-fault insurer or workers’ compensation entity does not otherwise have ongoing responsibly for medicals.?" To view the alert visit /https://lnkd.in/eZ9XHXu7 #CMS #Alert #MSP #Medicare #CMS

CMS Posts its 2024 WCMSA Fiscal Year Statistics. The Average Total Proposed WCMSA is $70,775.58 amd the average CMS approved MSA is 21% Counter Higher of $95,927.43. #WCMSA #CMS #Data #Statistics #Medicare #MedicareSetAside

Vaccine Injured? Contact us for a Medical Damages report toll-free at #888-434-9326 or visit online https:// https://lnkd.in/eTimAUYS for more info #vaccineinjury #Vax #mRNA

NEW! CMS UPDATE October 29, 2024 – Testing Reminder for the Section 111 Change to Workers’ Compensation Reporting

re·sil·ience /r??zilē?ns/ R noun 1. the capacity to?withstand?or to recover quickly from difficulties;?toughness. "the remarkable resilience of so many institutions" We are fully operational after Hurricane Milton. Thank you for your patience during our evacuation to safety. The sun is shining and it's a new day!

CMS Announces Non-Group Health Plan (NGHP) Medicare Secondary Payer (MSP) and Certain Civil Money Penalties (CMP) Informational Webinar on Thursday October 17, 2024. The CMS presentation will include reminders about the Final Rule, the auditing process and important dates, followed by a question and answer session.?As this is a public webinar, no pre-registration is required. For more information visit: https://lnkd.in/g3mCgHyf