Ask Annie: Mythical Zero Allocations

A “zero allocation” is what we call not setting money aside to pay for a claimant’s post-settlement Medicare-covered medical needs. A zero allocation is possible in two situations.

CMS Updates WCMSA Reference Guide: Key Changes in Store

Late on Tuesday October 29th the Centers for Medicare & Medicaid released an update, version 3.0 to its WCMSA Reference Guide (Guide).  The new version of the guide outlines all key policies and procedures applying to the workers’ compensation Medicare Set-Aside process, and includes important updates for both claims payers and attorneys. The updated reference guide… Read more »

Workers’ Compensation Review Contractor Protest

In September of this year the Centers for Medicare & Medicaid Services (CMS) announced the award of a new Workers’ Compensation Review Contractor (WCRC) contract to Capitol Bridge, LLC.  That award was protested by two organizations – KEN Consulting and Arch Systems – the latter of which could have resulted in review by the existing… Read more »

CMS Implements $750 Settlement Threshold for WC Conditional Payment Recovery; Maintains $1,000 Threshold in Liability

A September 26, 2016 CMS Alert (Alert) announced the implementation of a $750 conditional payment recovery threshold for no-fault and workers’ compensation settlements.  CMS also announced it is maintaining the $1,000 conditional payment recovery threshold for liability settlements, a threshold which has been in place since January 1, 2014. Implications Workers’ compensation and no-fault plans… Read more »