Cases & Points Blog

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Lions, and Tigers and Bears –Oh My! What Do We Need to Do to Comply?

April 7th  – We’re Off to See the Wizard –  the Wonderful Wizard of CMS . . . In light of the new language required on CMS Consent to Release Notes beginning 04/01/2020, it is time to take a closer look at what really is required for the submission of a Workers’ Compensation Medicare Set-Aside (WCMSA) […]

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Running the Conditional Payment Gauntlet

April 14th  – On Your Marks, Get Set . . . Starting the Conditional Payment Marathon Medicare collection based upon carrier/self-insured’s acceptance of the claim (Ongoing Responsibility for Medical – ORM). May 12th – Settle! – Finishing the Conditional Payment Marathon Medicare collection based upon settlement, judgement or award of the claim (Total Payment of […]

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Hey Jude – What Happens Post Settlement with the MSA Funds? MSA Administration

April 21st  – I Should Have Known Better –  Requirements of Administration, Benefits of Support and Common Mistakes Claimants MakeWill we discuss what the WCMSA Reference Guide has to say about Administration of MSAs. May 19th – With a Little Help from My Friends – Self-Administration with Support ServicesWe will discuss what “support services” includes […]

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The Right Ingredients to Prep Your MSA

April 28th  – Recipes for Success – Utilizing Rated Ages and Annuities to lower MSA costs Appropriately using rated ages and annuities can reduce your MSA cost by thousands of dollars. We will discuss the do’s and don’ts to maximize your savings. May 26th – The Proof Is In The Pudding – Preparing a Case […]

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NuQuestions & Answers

Have questions? NuQuest has the answers! A weekly opportunity to ask our NuQuest Settlement Consultant Team your Medicare Secondary Payer questions.  April 10th – Friday Question and Answer SessionYou submit your questions and we provide the answers! Have an urgent question? Contact our Settlement Consultant Team now.Call: (866) 858-7161  Ext. 4871 Email: settlementconsultants@mynuquest.com

Today is the Day!

April 1, 2020 – As of today, CMS will no longer be accepting Consent to Release Notes that do not include the following additional language: “Further, I have had the Workers’ Compensation Medicare Set-Aside Arrangement need and process explained to me, and I approve the contents of the submission.  Beneficiary initials_______.” If you have Workers’ […]

CMS Updates Regarding MSP Compliance Operations

March 25, 2020 – NuQuest has reached out to CMS to confirm operation functions for both conditional lien recovery and Workers’ Compensation Medicare Set-Aside submissions and approvals.  In addition, to our prior blog posting regarding CMS accepting electronic signatures that comply with the ESIGN Act, CMS has also confirmed the following: The WCRC is fully […]

Medication Pricing Updates

March 24, 2020 – The Red Book Average Wholesale Price (AWP)  for Meloxicam 7.5mg and 15mg is currently listed at $0.05 per pill.  This is a significant decrease from the prior listing price of $4.25 per pill.  If you have a WCMSAs that have not been submitted for CMS review or a NuShield MSA and […]

CMS Accepting Electronically Signed Documents

March 23, 2020 – CMS has confirmed that the COB&R will accept electronically signed documents that conform to the requirements of the Electronic Signatures in Global and National Commerce Act (ESIGN Act) 15 U.S.C. §§ 7001-7006 (2000) for obtaining signatures which ensures that consents are properly obtained and documented. CMS noted that the use of […]

New Life Tables for Workers’ Compensation Medicare Set-Asides

March 19, 2020 – Beginning April 25, 2020, CMS will convert to the CDC’s “Table 1: Life Table for the total population: United States, 2017” for the Workers’ Compensation Medicare Set Aside life expectancy calculations. Only minor or no increase in life expectancy amounts will be seen with the implementation of the new life table […]