On June 3, 2014, the Centers for Medicare and Medicaid Services (CMS) issued an updated Workers\u2019 Compensation Medicare Set-Aside Arrangement (WCMSA) Reference Guide. The following sections of the Guide have been enhanced or added:<\/p>\n\n\n\n

4.1.4          Hearing on the Merits of the Case: Section added to reflect the April 22, 2003 WCMSA RO Memorandum (Question # 5).<\/p>\n\n\n\n

9.4.4          Medical Review \u2013 Step 8: Clarification of submission requirements for medical records and payment records.<\/p>\n\n\n\n

10.8          Section 40 \u2013 Payment History: Updated requirements for denied conditions.<\/p>\n\n\n\n

9.4.6.2     Pharmacy Guidelines and Conditions:<\/p>\n\n\n\n

\u2022 Removed reference to Drug Tables for physician dispensed drugs.
\u2022 Consolidation of Drug Tapering and Drug Weaning sections.<\/p>\n\n\n\n

10.5.2      Use of WC Fee Schedule vs. Actual Charges for WCMSA: Wisconsin added to list of states with no Workers\u2019 Compensation fee schedule.<\/p>\n\n\n\n

10.7          Section 35 \u2013 Medical Records:<\/p>\n\n\n\n

\u2022 Removed two year requirement of medical records for unrelated to work injury.
\u2022 Clarified treating physician statements requirements.<\/p>\n\n\n\n

10.8          Section 40 \u2013 Payment History- Requirements for denied conditions.<\/p>\n\n\n\n

The updated Reference Guide can be found here<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"

On June 3, 2014, the Centers for Medicare and Medicaid Services (CMS) issued an updated Workers\u2019 Compensation Medicare Set-Aside Arrangement (WCMSA) Reference Guide. The following sections of the Guide have been enhanced or added: 4.1.4          Hearing on the Merits of the Case: Section added to reflect the April 22, 2003 WCMSA… Continue reading CMS Issues Updated WCMSA Reference Guide<\/span><\/a><\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-350","post","type-post","status-publish","format-standard","hentry","category-uncategorized","entry"],"_links":{"self":[{"href":"https:\/\/epicdevsite.info\/2021-picardilawfirm2\/wp-json\/wp\/v2\/posts\/350","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/epicdevsite.info\/2021-picardilawfirm2\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/epicdevsite.info\/2021-picardilawfirm2\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/epicdevsite.info\/2021-picardilawfirm2\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/epicdevsite.info\/2021-picardilawfirm2\/wp-json\/wp\/v2\/comments?post=350"}],"version-history":[{"count":1,"href":"https:\/\/epicdevsite.info\/2021-picardilawfirm2\/wp-json\/wp\/v2\/posts\/350\/revisions"}],"predecessor-version":[{"id":351,"href":"https:\/\/epicdevsite.info\/2021-picardilawfirm2\/wp-json\/wp\/v2\/posts\/350\/revisions\/351"}],"wp:attachment":[{"href":"https:\/\/epicdevsite.info\/2021-picardilawfirm2\/wp-json\/wp\/v2\/media?parent=350"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/epicdevsite.info\/2021-picardilawfirm2\/wp-json\/wp\/v2\/categories?post=350"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/epicdevsite.info\/2021-picardilawfirm2\/wp-json\/wp\/v2\/tags?post=350"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}