201703.06
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A CMS Policy for LMSA Reviews is Imminent

The Centers for Medicare & Medicaid Services (CMS) recently issued documentation signaling that Liability Medicare Set-Asides (LMSAs) and No-Fault Medicare Set-Asides (NFMSAs) will be notated fields in CMS’ Common Working File. Effective October 1, 2017, Medicare Administrative Contractors will begin denying payment for services associated with an open LMSA or NFMSA record. The CMS Manual Update…

201411.12
0

CMS Database Brings Transparency to Payments made to Doctors

As our employer and insurance industry clients are well-aware, skyrocketing medical costs have greatly contributed to rising exposure and expense in workers’ compensation claims.  Often, respondents in workers’ compensation claims are in the dark as to the doctors’ motivation for prescribing a given course of care.   Although opinions certainly differ as to the 2010 Affordable…