08-21-2010, 09:44 PM
The Question is will CMS see the intentional low ball MSA and change it? For instance, They have me down for 9 visits a year instead of 12 over a 26 year period to my PM Doctor. It is mandatory I see my pain management doctor every month when I am being prescribed a Sch II narcotics. That is 78 visits not included in my MSA. They also took away 2 of my prescription drugs I have been taking for over 3 years faithfully. These 2 add up to over $70000.
My thoughts are the IC is trying to screw the Federal Gov by low balling a MSA and "getting" it sneaked by Medicare.
That is wrong IMO. IF CMS has tightened up there screening, there is NO WAY this MSA will ever be accepted.
BUT IF CMS tries to change it, The IC will not accept it and we are still at square 1.
My thoughts are the IC is trying to screw the Federal Gov by low balling a MSA and "getting" it sneaked by Medicare.
That is wrong IMO. IF CMS has tightened up there screening, there is NO WAY this MSA will ever be accepted.
BUT IF CMS tries to change it, The IC will not accept it and we are still at square 1.