The Medicare Secondary Payer (MSP) Act is federal law that intersects with workers’ compensation (and other non-group health insurance types) and is statutorily and regulatorily based. However, many of the mechanisms that effectuate and enforce […]

The day is drawing near. Beginning on April 4, 2025, workers’ compensation insurance carriers and self-insured entities must report certain data related to settlements with Medicare beneficiaries that include a Medicare Set Aside (MSA).   Sec. […]

January isn’t over and we’ve already seen our second policy change from the Centers for Medicare & Medicaid Services (CMS) in 2025 affecting Medicare Set Asides (MSAs). The first came by way of an alteration […]

Shawn Deane  General Counsel & Vice President of Claims Solutions | J29 Solutions    Shawn.Deane@j29inc.com     On November 25, 2024, the Centers for Medicare & Medicaid Services (CMS) released a report titled, “Workers’ Compensation Medicare Set-Aside (WCMSA) […]

Shawn Deane  General Counsel & Vice President of Claims Solutions | J29  Shawn.Deane@j29inc.com     On August 1, 2024, the Centers for Medicare & Medicaid Services (“CMS”) issued updates to the Workers’ Compensation Medicare Set Aside Reference […]

WHAT: The Centers for Medicare and Medicaid Services (CMS) updates its reimbursement rules and rates for medical services each year.   This report highlights the 2024 changes to CMS fee schedules for the following service […]

Shawn DeaneGeneral Counsel & Vice President of Claims Solutions | J29 Solutions  Shawn.Deane@j29inc.com   On December 4, 2023, the Centers for Medicare & Medicaid Services (CMS) released “Workers’ Compensation Medicare Set-Aside (WCMSA) Fiscal Year Statistics 2023.” […]

Sarasota, FL (WorkersCompensation.com) – Earlier this week, the OIG released their Semiannual Report to Congress detailing their audit findings for reporting period April 1 through September this year, which included activity from October 2022 through […]