Workers’ Compensation

In conjunction with the alert report for February 18th, CMS provided additional clarification that the change in Threshold is  limited to physical trauma-based liability insurance settlements.  (Note: This threshold does not apply to settlements for alleged ingestion, implantation or exposure cases.) The  new threshold is effective immediately. This means that physical trauma-based liability settlements of $1000 [...]

On February 18, 2014, CMS issued an alert indicating that it could set a threshold under which liability settlements would no longer need to be reported to CMS under MMSEA Section 111 and also would not require conditional payment reimbursement under the MSP. A copy of the alert can be found here. Unfortunately, the Alert raises [...]

The Centers for Medicare and Medicaid Services (CMS) announced on February 11th that it is seeking comments on the manner in which CMS plans to expand the Workers’ Compensation Medicare Set-Aside Arrangement (WCMSA) re-review process. See : http://www.cms.gov/Medicare/Coordination-of-Benefits-and-Recovery/Workers-Compensation-Medicare-Set-Aside-Arrangements/Downloads/WCMSA-Re-review-Expansion.pdf.  Currently, CMS has a limited re-review process for WCMSA amounts that can be used in situations where CMS [...]

In response to the Advance Notice of Proposed Rulemaking (ANPRM) at http://www.gpo.gov/fdsys/pkg/FR-2013-12-11/html/2013-29473.htm, UWC submitted comments to the Centers for Medicare and Medicaid Services (CMS). Attached are the complete comments. The primary points of the comments are summarized below. Comments Congress clearly indicated that civil money penalties were not to be imposed in all cases as a [...]