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Risk Mgt, Claims & Ins

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  Claims Management

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    Medicare Set-Aside


Workers' Compensation Medicare Set-Aside reporting requirements and related reference materials
There are 11 other categories related to Claims Management / Medicare Set-Aside in the Libraries & Directories.

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Medicare Second Payer Overview [33323] Medicare Second Payer Overview : Resource Info
Medicare Secondary Payer (MSP) is the term used by Medicare when Medicare is not responsible for paying first

Medicare Secondary Payer Mandatory Reporting [36189] Medicare Secondary Payer Mandatory Reporting : Resource Info
Section 111 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (MMSEA) requirements

Medicare Secondary Payer Manual [33322] Medicare Secondary Payer Manual : Resource Info
MSP provisions prohibit Medicare from making payment if payment can be expected by workers compensation

Medicare Workers Compensation Agency Services [33324] Medicare Workers Compensation Agency Services : Resource Info
The portion of CMS that handles Workers Compensation Medicare Set-aside Arrangements (WCMSAs)

National Alliance of Medicare Set-Aside Professionals [33321] National Alliance of Medicare Set-Aside Professionals : Resource Info
Non-profit association exclusively addressing current issues and challenges of Medicare Set-Aside arrangements

Part D of the Medicare Modernization Act & WCMSAs [36192] Part D of the Medicare Modernization Act & WCMSAs : Resource Info
All WC settlements must consider prescription drug coverage costs

Submissions of WCMSAs [36191] Submissions of WCMSAs : Resource Info
How to submit Workers Compensation Medicare Set-aside Arrangements (WCMSA)

WCSMA - Reporting a WC Case and Obtaining Conditional Payment Information [36193] WCSMA - Reporting a WC Case and Obtaining Conditional Payment Information : Resource Info
WC occurrences that involve a Medicare beneficiary should be reported to the Coordination of Benefits Contractor COB

WCSMA - Top 10 Submitter Errors [pdf] [36194] WCSMA - Top 10 Submitter Errors : Resource Info
Includes helpful hints to avoid mistakes when submitting a Workers' Compensation Medicare Set-aside Arrangement

WCSMA Point-of-Contact List [pdf] [36198] WCSMA Point-of-Contact List : Resource Info
Names and phone numbers of Medicare personnel contacts for WCMSA

WCSMA Prescription Drug Set-Aside Guidance [pdf] [36197] WCSMA Prescription Drug Set-Aside Guidance : Resource Info
Covers common issues that arise when calculating prescription drug expenses for WCSMA proposals

WCSMA RX Procedure Memorandum [pdf] [36196] WCSMA RX Procedure Memorandum : Resource Info
CMS uses the average wholesale price (AWP) when calculating future prescription drug costs in WCSMA proposals

WCSMA Submission Operating Rules [pdf] [36195] WCSMA Submission Operating Rules : Resource Info
A document intended to help reduce the number of incomplete set-side proposals submitted to Medicare

Workers Compensation Medicare Set-aside Arrangements [36190] Workers Compensation Medicare Set-aside Arrangements : Resource Info
Medicare requirements for WC set-asides



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