Workers Compensation and Medicare Common Overlaps
Workers’ Compensation and Medicare overlap is a huge topic – impossible to cover every aspect of how they are interrelated. Here, we will discuss some of the more common issues that arise. Under...
View ArticleFive Strategies Tried to Avoid Medicare Set Asides
While Medicare Set-Asides (MSAs) are designed to protect Medicare and the claimant, claimants and their attorneys often look for ways around them. Generally, avoiding MSAs is tough to do. Strategies...
View ArticleClaims Resolution and Settlements: MSA and Annuities
Medicare Set Asides Under federal law, Medicare is precluded from paying the medical expense for a person's workers' compensation injury. The Center for Medicare and Medicaid Services requires all...
View ArticleMedicare Set Aside Changes Regarding Prescription Medications
Medicare, Prescription Drugs, and the MSA On May 14, 2010 CMS Central Office published some important changes about the way Medicare will view prescription drugs in MSAs. Before we discuss the impact...
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5 Things Employers Must Know About Medicare Set-Aside Custodial...
LowerWC.com interviewed Christie Luke, vice president of operations at Gould & Lamb, in Bradenton, FL about custodial administration arrangements for Medicare Set-Asides (MSAs). She started off...
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5 Reasons Why Reserves Need to be Higher than You Think
As a Risk manager, claims coordinator, agent, human resources representative — whatever your title may be, the name of the claims game comes down to reserves. Reserves are the tangible part of what an...
View ArticleThe Value of Using Structured Settlements When Addressing Medicare Set Asides
Medicare Secondary Payer Statute Protects Medicare’s Interests The Medicare Secondary Payer statute (MSP), 42 CFR 411, requires that primary payers (carriers, self-insured entities) protect Medicare’s...
View ArticleThe Best Tidbits of News From The Workers Comp Community
CMS to Resolve MSA Backlog by February 28, 2013 While there have been no formal updates to the CMS website, the WCRC recently provided an update to Gould & Lamb that it will have all remaining...
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