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Medicare Beneficiaries Cannot Rely on Estimated Conditional Payment Amounts in Making Settlement Decisions

On March 23, 2017, a decision from the South District of Florida, Shapiro v. Secretary of HHS, 2017 U.S. Dist. LEXIS 42278, confirmed Medicare beneficiaries cannot rely on estimated conditional payment amounts from the Centers for Medicare and Medicaid Services (CMS) in making settlement decisions. The Medicare beneficiary Plaintiff, Shapiro, was injured in an automobile […]

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CMS Announces Changes Coming to the Re-Review Process of Approved WCMSAs

The Centers for Medicare & Medicaid Services (CMS) just announced it has been reviewing its process for addressing requests for CMS to “re-review” approved Workers’ Compensation Medicare Set-Aside Arrangement (WCMSA) amounts and plans to make a change in 2017.  CMS expects to update its existing re-review process to address situations where CMS has provided an […]

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