Status & Changes of CMS/MSA Compliance

At the 2022 SAWCA All Committee Conference, a panel shared information and insight on the current status and changes of Centers for Medicare and Medicaid Services (CMS) Medicare Set-Asides (MSA) and their impact on injured workers, employers, and state workers’ compensation systems. Speakers included: Moderator: James Forrester – Maryland Commissioner Steve Peacock – Director Client […]

Keeping Claims on Track

What is the smartest way to improve the claims process? At the 2022 WCR Conference, a panel of experts provided 60 practical tips and strategies in 60 minutes that can be used to ensure your workers’ compensation claims stay on the right track. Speakers included: Moderator, Stuart D. Colburn, Esq. Downs Standford P.C. Panelists: Edward […]

Liability Medicare Set-Asides

At the 2016 NAMSAP Annual Conference, a panel provided an overview of how CMS is handling liability Medicare set-aside arrangements. The panel was: David Cherry – Cherry Injury Firm Roy Franco – Franco Signor, LLC Thomas Spratt – NuQuest There are significant differences between workers’ compensation and liability Medicare set-asides. Workers’ compensation benefits are statutory […]

Adventures in Allocating

At the 2016 NAMSAP Annual Conference, a panel discussed pricing methodologies for Medicare Set Asides. The panel was Beth Hostetler – Safeway Albertson’s Christine Melancon – EZ-MSA Services Jake Reason – EK Health Services CMS looks for trends in the treatment in making allocating recommendations. Many regions want to see 4 doctors visits on the […]

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Safe Harbor Provisions in the SMART Act

At the 2016 NAMSAP Annual Conference Monika Boswein from Acuity and Katie Fox from Franco Signor LLC discussed issues around conditional payments and safe harbor provisions in the SMART Act. When you are considering potential penalties and compliance issues one thing to keep in mind is that safe harbor’s are triggered by reporting. If you […]

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Unraveling the Mysteries of Medicare Secondary Payer Compliance

At the 23rd Annual National Workers’ Compensation & Disability Conference on November 19-21, 2014, one of the sessions focused on the challenges faced in Medicare Secondary Compliance. The session titled “Workers’ Compensation and Its Secondary Payers: Medicare and Medicaid” featured Tim Nay of Nay & Friedenberg, Vernon Sumwalt of The Sumwalt Law Firm and Jennifer […]

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