A colleague recently asked me what happens to the funds placed in an established Medicare Set-Aside when the injured employee/beneficiary dies before the funds are completely exhausted. Since my legal responsibility usually ends once an MSA is established I did not readily know the answer to this question and I had to dig through old [...]
Posts Tagged ‘WCMSA’
The Effect Ongoing Medical Payments Have on Medicare Set-Asides
Image via Wikipedia As a general rule federal law requires parties involved in workers’ compensation claim to consider Medicare’s interests in the event of a settlement. 42 CFR 411.46. However there is one major exception to this rule. Bookmark It Hide Sites $$(‘div.d439′).each( function(e) { e.visualEffect(‘slide_up’,{duration:0.5}) });
Taxes and Medicare Set-Asides
Image via Wikipedia As April 15th draws nearer and my mailbox starts to fill with W-2 and yearly interest statements I am reminded of the old adage, only two things in life are certain; Death and Taxes. Oddly enough my recent dealings with Medicare Set-Asides Bookmark It Hide Sites $$(‘div.d441′).each( function(e) { e.visualEffect(‘slide_up’,{duration:0.5}) });
Acronyms and Definitions
§ – Section CAT claim – Catastrophic designation (designation through the SBWC) CAT scan, CT or CT scan – Computed Tomography (medical procedure) CMS – Centers for Medicare & Medicaid Services FCE – Functional Capacity Evaluation Depo – Deposition IME – Independent Medical Examination MMI – Maximum Medical Improvement MRI – Magnetic Resonance Imaging MSA [...]
Violating the Medicare Secondary Payer Act Can Hurt Insurers’ Bottom Line
Not accounting for Medicare’s interest during workers’ compensation settlements can lead to shortfalls in insurers’ bank accounts. Under the Medicare Secondary Payer Act (MSP), the Center for Medicare and Medicaid Services (CMS) has the right to seek reimbursement of medical expenses paid by Medicare, which the workers’ compensation carrier should have made. [1] The Act [...]
