Medicare Set-Asides
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Recent Legislative Changes Impacting Mental Health Coverage for First Responders Injured at Work
by K. Kline When we think about workers’ compensation, we often think of cases involving bodily injury claims – traumatic physical injuries, occupational exposure, and similar examples immediately come to...
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CMS Issues New WCMSA Reference Guide and Self-Administration Toolkit
by B. Smith This week, the Centers for Medicare & Medicaid Services (CMS) updated their WCMSA Reference Guide and Self-Administration Toolkit. Below is a summary of the pertinent updates. WCMSA Reference...
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The Wait is Over: CMS Change to Amended Review Timing Begins in April
By M. Heberling April will bring impactful changes to the Centers for Medicare & Medicaid Services (CMS) review process. We wanted to highlight these changes and make sure your organization...
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CMS Issues NGHP User Guide Version 7.8
by B. Smith The Centers for Medicare & Medicaid Services (CMS) has issued a new Non-Group Health Plan (NGHP) User Guide, Version 7.8. CMS added a new language in Chapter...
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Success Spotlight: Persistence in the Re-Review Process Results in Savings of 65K
by K. Kline Advancing customer interests through the effective use of the Centers for Medicare & Medicaid Services (CMS) re-review process continues to be an important part of IMPAXX’s Workers’...
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Will Lower Drug Price Negotiations Impact MSAs?
by B. Smith In a press release issued this month, CMS noted that the Biden-Harris Administration reached an agreement for lowering pricing on 10 select medications. This new pricing will...
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CMS Releases WCMSA Reference Guide v4.1 and Self-Administration Toolkit v1.6
by D. Dietz CMS recently published Workers’ Compensation Medicare Set-Aside (WCMSA) Reference Guide version 4.1, which is now available in the Download section of the Workers’ Compensation Medicare Set Aside...
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Success Spotlight: 96% Success Rate on Zero MSA Submissions
The Centers for Medicare & Medicaid Services (CMS) has no official policy when it comes to approval of a zero Medicare Set-Aside (MSA) waiver. Does CMS base approvals on...
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Success Spotlight: MSA Reduced by Over $600K Through Re-Review Process
At IMPAXX we advocate for our customers, which sometimes includes setting the record straight when the Centers for Medicare & Medicaid Services (CMS) includes treatments or medications in a...