The Centers for Medicare and Medicaid Services (CMS) updates its reimbursement rules and rates for medical services each year. This report highlights the most relevant changes in the 2025 update and the potential impact on […]

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 […]

Shawn DeaneGeneral Counsel & Vice President of Claims Solutions | J29Shawn.Deane@j29inc.com  On February 23, 2024, the Centers for Medicare & Medicaid Services (“CMS”) issued a technical alert associated with forthcoming obligations around reporting Medicare Set […]

Sarasota, FL (WorkersCompensation.com) – Physicians received a 3.4 percent cut in Medicare rates at the first of this year as a result of an ongoing decrease of the conversion factor used to calculate rates. For […]