COMPTALK

NAMSAP Bulletin Provides a Sneak Peek into CMS’ LMSA Review Program

Last week, the National Alliance of Medicare Set Aside Professionals (NAMSAP), through their Liability Medicare Set Aside (LMSA) Committee issued a special edition bulletin about LMSAs.  The bulletin described an April 16, 2018 meeting between NAMSAP members and the Centers for Medicare & Medicaid Services (CMS).  The informational bulletin, which is subject to change until…
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FDA Approval of the First Plant-Derived Cannabinoid Prescription Medication

In a landmark approval on June 25th, the Food and Drug Administration (FDA) approved Epidiolex® (oral cannabidiol solution) for the treatment of seizures associated with Lennox-Gestaut Syndrome or Dravet Syndrome, in children two years of age and older.  Epidiolex is the first marijuana-based drug approved for use in the United States. Two other drugs previously…
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KEEPING YOUR EMPLOYEES AT WORK DURING THE REHABILITATION PROCESS

Workers that do not Return to Work (RTW) experience a significant reduction in their overall income.  There is a potential for delayed RTW and/or RTW to an inappropriate position due to absent or delayed communications with employers or the claims professional. As case managers, we refer to the Case Management Society of America (CMSA) Standards…
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Another MSP Case Invades a Jurisdiction: The Sixth… This Time.

Another Medicare Secondary Payer (MSP) case involving the well-known entities, MAO-MSO, Recovery II, LLC MSP Recovery, LLC and MSPA Claims 1, LLC (“Plaintiffs”) has arisen out of the Sixth Circuit.[1] (MAO-MSO Recovery II, LLC v. Progressive Corp., No. 1:17CV390, 2018 U.S. Dist. LEXIS 119046, (N.D. Ohio July 17, 2018).  This recent opinion is issued in response…
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Structured Settlements 101: Making the Most of Your Settlements

Structured settlements are regularly overlooked as a viable and valuable option for funding a settlement. They are commonly perceived as extremely complicated and the potential benefits are often overshadowed by the temptation of a large lump sum payout. However, in practice, structured settlements are incredibly simple. What is a Structured Settlement? Structured settlements are settlements…
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Professional Administration: The Last Piece of the MSP Compliance Puzzle

It has been nearly one year since the Centers for Medicare & Medicaid Services (CMS) first released a revised Workers’ Compensation Medicare Set-Aside (WCMSA) Reference Guide,[1] which addressed one of the lesser discussed topics in Medicare Secondary Payer (MSP) compliance: professional administration.  Specifically, the revised guide included the following statement: “[a]lthough beneficiaries may act as…
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