Hear what our attorneys are saying

22
Oct 2019

Answers by Amy

By Amy Bilton     

  I received several calls in the last couple of months, mainly from Claimants’ attorneys, asking if I know anything about “evidence-based MSAs.”  In my role as an officer for the National Alliance of Medicare Set-Aside Professionals (NAMSAP), and in working with clients all over the country, I had seen all varieties of MSA programs. 
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22
Oct 2019

The Ticking Time Bomb in Your File Cabinet: CMS Referring Old Claims to Treasury

By Paul Pasche     

  In what appears to be a trend lately, we are seeing more instances of cases where The Centers for Medicare and Medicaid Services (CMS) is referring older claims (often thought by the adjuster to have been closed long ago) to the United States Treasury for collection. Here are some tips for how to avoid
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22
Oct 2019

NAMSAP 2019: I’m All In

By Julie A. Garrison     

  As a first-time NAMSAP (National Alliance of Medicare Set-Aside Professionals) annual conference attendee, I was able to meet, learn from, and network with many leaders and influencers in the Medicare Set-Asides (MSA) and Medicare Secondary Payer (MSP) compliance industry. NAMSAP is about collegiality among adversaries and competitors while its conference provided opportunities for policy
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22
Oct 2019

Dealing with Drugs in the Medicare Set-Aside

By Rasa Fumagalli     

  The prescription component of a Medicare Set-Aside allocation may at times present an obstacle to the settlement of the claim. There are however certain steps which may be taken during the life of a claim to help ensure the lowest possible prescription allocation. This article will provide background on the drug pricing structure in
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22
Oct 2019

The Importance of Using Accurate Diagnosis Codes in Section 111 Reports

By Joseph Gregorio     

  In 2015, CMS announced it would be requiring responsible reporting entities (RREs) to begin using ICD-10 diagnosis codes in Section 111 reports for accidents occurring on or after October 1, 2015.  There are several benefits to using ICD-10 codes compared to ICD-9 codes, namely improved specificity and hierarchy of diagnoses.  Although ICD-10 codes are
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