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CMS Considering Voluntary Review of Liability MSAs, Again
On October 26, CMS once again issued an alert indicating it would be considering expanding the review of voluntary Medicare Set-Asides (MSAs) to include liability insurance and no-fault insurance...
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Change is Needed: CWCI Study Provides Concrete Evidence of Over Inclusion of...
This week, the California Workers’ Compensation Institute (CWCI) released a study documenting opioid use in Workers’ Compensation Medical Set-Asides (WCMSAs). The study (for which MEDVAL contributed...
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CMS Document SE17019 Reissued; The Effect This Document Has On Your MSA
As we continue to monitor for guidance from the Centers for Medicare & Medicaid Services (CMS) regarding Medicare Secondary Payer (MSP) compliance and liability/no-fault insurance claims, we have...
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More MSPA Claims 1 Cases Dismissed for Standing
The U.S. District Court for the Central District of California dismissed the attempted class action against Mercury General on November 2, 2017. As with the other attempted national actions, standing...
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Visit MEDVAL #3316 at the NWCDC in Las Vegas
MEDVAL will be exhibiting at the annual National Workers’ Compensation and Disability Conference (NWCDC), December 6th – 8th, 2017 in Las Vegas, Nevada. For a full agenda of the event, visit the...
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Another Court Case, Perpetuating the Confusion Surrounding LMSAs
Yesterday, a decision came out of the District Court for New Mexico, based upon an action to determine whether a Medicare Set-Aside was needed in a matter involving a personal injury suit. (Silva v....
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CMS to Begin Utilizing 2014 Life Table
The CMS WCMSA web portal, where Workers’ Compensation Medicare Set Aside submissions are submitted to CMS for review, has alerted users that as of December 11, 2017, CMS will begin using the Table 1:...
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WCRC Award Protests Denied
As we previously reported, CMS awarded the Workers’ Compensation Review Contractor (WCRC) contract to Capitol Bridge, LLC, which was subsequently protested by two other companies who participated in...
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CMS Releases Updated NGHP User Guide, Version 5.3
CMS updated their Non-Group Health Plan (NGHP) User Guide, and released version 5.3. The updated guide can be found here. The update to the guide essentially addresses CMS’ long planned transition, as...
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Take 2: MAO Class Action Fails on Second Amended Complaint
As you may recall, several weeks ago we reported on a new spin in the Medicare Advantage Organizations (MAO) class action realm. At the root of this latest private cause of action, is a multi-district...
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Meet the New CRC Contractor on 01/18/18
The industry has been invited to a CMS-sponsored webinar to introduce the new Commercial Repayment Center (CRC) contractor, Performant Financial Corporation, who will be taking up residence effective...
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The CRC Dark Days are Coming, February 8 – 9, 2018
The highly anticipated Commercial Repayment Center (CRC) contractor transition from CGI Federal to Performant Recovery was discussed in a CMS Town Hall presentation this afternoon. The stated goal:...
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Liberty Life Assurance Company of Boston Announces Exit from the Structured...
Our structured settlement department received word this morning that Liberty Life Assurance Company of Boston is being sold to Lincoln Financial Group. As a result of the sale, Liberty Life will be...
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CRC Contractor Transition Webinar Slides Available for Review
CRC Webinar Slides Available for Review If you missed the January 18th webinar introducing the incoming Commercial Repayment Center Contractor, Performant Recovery, Inc., those slides are now available...
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Sublocade – A New Once-Monthly Injection for the Treatment of Opioid Use...
The opioid crisis continues to be one of the most talked about issues facing the health care community, and the nation as a whole, having been declared a national public health emergency. In response,...
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