Tag Archive: WCMSA Reference Guide
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Recent Decision in FL Court of Appeal: Dispensing Practitioners Do Not Meet Definition of Pharmacist
by M. Heberling Today we are highlighting an interesting case law development in the State of Florida First District Court of Appeal, which could potentially affect workers’ compensation claims and...
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CMS Releases WCMSA Reference Guide Version 4.5
by M. Heberling The Centers for Medicare & Medicaid Services (CMS) released an updated Workers’ Compensation Medicare Set-Aside Arrangements (WCMSA) Reference Guide version 4.5, on April 13, 2026. CMS made minimal...
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Fear, Uncertainty, and Doubt: Mixed Messages Around TPOC Reporting and Zero MSAs
by B. Smith There have been a lot of confusing and conflicting messages when it comes to Section 111 Reporting of Workers’ Compensation Medicare Set Asides (WCMSAs). This confusion has...
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CMS Now Consistently Requesting Expense Payment Histories
by J. Mislanovich The Centers for Medicare & Medicaid Services (CMS) WCMSA Reference Guide has always indicated that an all-inclusive payment history (including medical, indemnity, and expenses) is to be...
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Clearing Up Non-Submit MSAs – CLM Magazine
Co-Chief Executive Officers Barbara Fairchild and Jon Gunter recently wrote an article for CLM Magazine, Clearing Up Non-Submit MSAs, where they provide their insights on Section 4.3 of WCMSA...