The Centers for Medicare and Medicaid Services (CMS) has announced that it will re-evaluate an approved Medicare Set-aside Arrangement if the claimant or the submitter believes that the CMS determination (1) contains obvious mistakes, such as mathematical errors or a failure to recognize that medical records already submitted show a surgery CMS priced already has been performed or (2) misinterpreted evidence previously submitted.<\/p>\n\n\n\n

The memorandum from CMS indicates that \u201cif a WCMSA proposal amount was originally submitted via the web-portal, a re-evaluation of an approved WCMSA amount can be requested through the WCMSA web portal.\u201d Thus, it is not clear whether CMS will accept a re-evaluation request through the web portal when the original proposal was submitted via mail. CMS also indicates that the Regional Offices will review the requests for re-evaluation submitted through the portal (rather than the contractor that made the original determination).<\/p>\n","protected":false},"excerpt":{"rendered":"

The Centers for Medicare and Medicaid Services (CMS) has announced that it will re-evaluate an approved Medicare Set-aside Arrangement if the claimant or the submitter believes that the CMS determination (1) contains obvious mistakes, such as mathematical errors or a failure to recognize that medical records already submitted show a surgery CMS priced already has… Continue reading Request for Re-evaluation of Medicare Set-aside Arrangements<\/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-451","post","type-post","status-publish","format-standard","hentry","category-uncategorized","entry"],"_links":{"self":[{"href":"https:\/\/epicdevsite.info\/2021-picardilawfirm2\/wp-json\/wp\/v2\/posts\/451","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=451"}],"version-history":[{"count":1,"href":"https:\/\/epicdevsite.info\/2021-picardilawfirm2\/wp-json\/wp\/v2\/posts\/451\/revisions"}],"predecessor-version":[{"id":452,"href":"https:\/\/epicdevsite.info\/2021-picardilawfirm2\/wp-json\/wp\/v2\/posts\/451\/revisions\/452"}],"wp:attachment":[{"href":"https:\/\/epicdevsite.info\/2021-picardilawfirm2\/wp-json\/wp\/v2\/media?parent=451"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/epicdevsite.info\/2021-picardilawfirm2\/wp-json\/wp\/v2\/categories?post=451"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/epicdevsite.info\/2021-picardilawfirm2\/wp-json\/wp\/v2\/tags?post=451"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}