
August 11, 2010- Top Ten Submitter Errors
An updated Top Ten Submitter Error document has been provided by CMS.
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July 9, 2010 - New Life Tables
The Centers for Disease Control (CDC) has recently published its 2006 United States Life Tables. Effective July 19, 2010, any newly submitted WCMSA proposal received by CMS' Coordination of Benefits Contractor (COBC), or where any WCMSA case is reopened on or after July 19, 2010, CMS will apply the CDC's 2006 Table 1 for life expectancy calculations. You may access the CDC's United States Life Tables at by clicking here.
New Operating Rules Memo
12-19-08: CMS posted the "Operating Rules" memo dated 10-27-08 used by its workers' compensation review contractor. more..
New Policy Memo
8-24-08: CMS issued a new memo clarifying its policy regarding "Beneficiaries that Request Termination of a WCMSA Account". more..
New Policy Memo
5-20-08: CMS issued a new memo clarifying its policy regarding life expectancy calculations. more..
New Policy Memo
7-24-06: CMS issued a new memo clarifying its policy regarding the inclusion of prescription expenses in Medicare set-asides. more..
New Medicare Threshold
4-25-06: CMS revised the workers' compensation settlement approval
threshold for Medicare beneficiaries from $10,000 to $25,000. more..
Prescription Medications
12-30-05: CMS released a formal policy memorandum regarding
prescription drugs. It now requires that All WC settlements that
occur on or after January 1, 2006, must consider and
protect Medicare’s interests when future treatment includes prescription
drugs along with
the future medical services that would otherwise be reimbursable
by Medicare. more.. more..
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Do I Need Approval?
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If you determine that CMS approval of your settlement is required, with
or without a set-aside, it is critical that you obtain professional counsel
to guide you through the process. This is especially true for high exposure
cases where the amount of future medical exposure is significant. The failure
to take appropriate precautions can cause unnecessary delays in finalizing
settlements and can create
unnecessary
exposure to the claimant, claimant's counsel, the
employer, the insurance carrier and their counsel. more.. |