Shawn Deane will lead industry initiatives as president of NAMSAP

The National Alliance for Medicare Set-Aside Professionals (NAMSAP) provides a forum for professionals in the Medicare Set-Aside (MSA) industry. That’s why we’re pleased to announce that Shawn Deane has been elected president of NAMSAP for 2017. As president, Shawn will work closely with industry leaders to anticipate trends and respond to issues such as the […]

Clues to CMS future gleaned from WCRC solicitation notice

The Centers for Medicare & Medicaid Services (CMS) moved forward with requests for proposal regarding the Workers’ Compensation Review Contractor (WCRC) contract by releasing a full solicitation notice before the holidays. Because the request is for a five-year contract, the solicitation information can provide clues to CMS’s long-term strategy regarding Medicare Set-Asides (MSAs). Insights into […]

Important SSNRI News at CMS Forum

The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) requires the Centers for Medicare & Medicaid Services (CMS) to remove Social Security numbers (SSNs) from Medicare cards before the end of the decade. To comply with MACRA, CMS created the Social Security Number Removal Initiative (SSNRI). On Tuesday, January 17, CMS held an Open […]

Breaking: CMS Recovery Practice Ruled Improper under the MSP

In an important new case—CIGA v. Burwell, 2017 WL 58821 (C.D. California, January 5, 2017)—the court ruled that the CMS practice of seeking full reimbursement of a medical provider’s single charge—even where some unsegregated portion of that charge relates to services not covered by a workers compensation plan—was improper under the Medicare Secondary Payer Statute […]

A Holiday Present from CMS

Foreshadowing a major change to Medicare Set-Asides (MSAs), the Centers for Medicare & Medicaid Services (CMS) announced on Wednesday, December 21, that it would unveil new policies in 2017 regarding re-review of MSAs and the use of utilization review in MSAs. The CMS announcement suggests that parties may soon be afforded a second bite of […]

CMS Releases Updated Reporting and Recovery Thresholds with News on TPOCs

The Centers for Medicare and Medicaid Services (CMS) has released its latest alert regarding its low-dollar reporting and recovery thresholds pertaining to liability (including self-insurance), workers compensation, and no-fault settlements, judgments, awards, or other payments (settlements). CMS’s December 12, 2016, alert, Change in Reporting Thresholds for Certain Liability Insurance, No-Fault Insurance, and Workers’ Compensation Settlements, […]