MSP Compliance Solutions

One could argue the WCMSA review and approval process is an unnecessary redundancy now that CMS will actively issue civil monetary penalties on claims involving Medicare beneficiaries that are not properly reported. Is now the right time to end the voluntary review and approval process? Discuss.

CMS continues to roll out significant changes to the voluntary WCMSA review and approval process. Starting in early April, parties will no longer be requires to stand in line to use the Amended Review process. #MedicareSetAsides #WCMSA #Medicare https://lnkd.in/eNEax_5C

CMS announced they will no longer review $0 MSA allocations in workers' compensation settlements. While the change does not take effect until July 17, now is the time to review your compliance programs to avoid missed opportunities. #MedicareSecondaryPayer #CMS https://lnkd.in/gSJSeRMw

The last several years has seen an uptick in U.S. Department of Justice lawsuits against attorneys and law firms over failure to correctly resolve conditional payment matters.?A common resolution to these matters is the requirement firms create a Medicare Secondary Payer compliance manual to better instruct attorneys and support staff on all things Medicare Secondary Payer. What best practices do you want to implement in 2025? Now is the time to consider the creation of such manual in to safeguard your practice. #MedicareSecondaryPayer

The last several years has seen an uptick in U.S. Department of Justice lawsuits against attorneys and law firms over failure to correctly resolve conditional payment matters.?A common resolution to these matters is the requirement firms create a Medicare Secondary Payer compliance manual to better instruct attorneys and support staff on all things Medicare Secondary Payer. What best practices do you want to implement in 2025? Now is the time to consider the creation of such manual in to safeguard your practice. #MedicareSecondaryPayer

The other day, I talked to an attorney who does a great job identifying settlements where a Medicare Set-aside (MSA) is recommended, but never includes information about it.?Makes no sense!?Every settlement that includes an MSA should include information about it.?This should include: 1. The MSA amount 2. The MSA funding mechanism 3. Administration of the MSA 4. A description of the responsibilities of the parties 5. A Reversionary clause 6. Statement of reasonableness Are you including this information in all your settlements that include an MSA? #MSPsmarter https://lnkd.in/eCQ-CMsp

Save the date and register now: Medicare Secondary Payer Update: Section 111 Reporting Impacts All Work Comp Settlements 2024 The Centers for Medicare & Medicaid Services (CMS) announced unexpected and significant changes to reporting requirements that have major implications for worker’s compensation law. CMS will now collect Medicare Set-Aside (MSA) data for all worker’s comp settlements reported via Section 111 of the Medicare, Medicaid, and SCHIP Extension Act (MMSEA) of 2007. These changes have led to confusion in the worker’s comp community about what is required to settle cases. https://lnkd.in/eaMAsCSW

Happy 59th birthday, Medicare! Trivia Question: The first two Medicare beneficiaries are in this picture. Who where they?

WCMSAs: To Submit, or Not Submit, that is the question! Everyone wants to protect Medicare's interests, but the WCMSA review and approval process must be voluntary. Find out how over submitting is really a tax on settling cases and why all parties need to make better decisions when to submit a MSA. #MSPsmarter #MedicareSecondaryPayer https://lnkd.in/eu58gW2M