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Q: If a Medicare beneficiary has outstanding WC-related claims that were not paid by either Medicare or the WC carrier prior to the settlement, who is required to pay for related unpaid medicals bill and why?
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Ref: Workers’ Compensation Medicare Set-Aside Arrangement (WCMSA) Reference Guide v2.9
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Sect:  4.1.2 Outstanding WC Claims
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A: The beneficiary is required to pay for related unpaid medicals bills out of his or her WC settlement. Medicare cannot pay because it is secondary to the WC settlement.
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#workerscomp #workerscompensation #liability #secondpayer #medicaresetasides #msa #claimant #applicant #cms #compexmsa #riskmanagement #workerscompensationseminar #dsba #chasecenterontheriverfront #workerscompensationattorneys #aapan #californialegislativesummit #grangerestaurant #grangerestuarant #grangerestaurantandbar #hyattregencyalbuquerque #wcaofma
#newmexico #washington #selfinsured #greatertacomaconventioncenter

Q: If a Medicare beneficiary has outstanding WC-related claims that were not paid by either Medicare or the WC carrier prior to the settlement, who is required to pay for related unpaid medicals bill and why? ➖➖ Ref: Workers’ Compensation Medicare Set-Aside Arrangement (WCMSA) Reference Guide v2.9 ➖➖ Sect: 4.1.2 Outstanding WC Claims ➖➖ A: The beneficiary is required to pay for related unpaid medicals bills out of his or her WC settlement. Medicare cannot pay because it is secondary to the WC settlement. ➖➖ #workerscomp #workerscompensation #liability #secondpayer #medicaresetasides #msa #claimant #applicant #cms #compexmsa #riskmanagement #workerscompensationseminar #dsba #chasecenterontheriverfront #workerscompensationattorneys #aapan #californialegislativesummit #grangerestaurant #grangerestuarant #grangerestaurantandbar #hyattregencyalbuquerque #wcaofma #newmexico #washington #selfinsured #greatertacomaconventioncenter - 5 months ago

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Q: When a settlement includes compensation for future medical expenses, it is referred to as...
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Ref: Workers’ Compensation Medicare Set-Aside Arrangement (WCMSA) Reference Guide v2.9
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Sect: 4.1.1 Commutation and Compromise
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A: a “WC commutation case.”
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#workerscomp #workerscompensation #liability #secondpayer #medicaresetasides #msa #claimant #applicant #cms #compexmsa #riskmanagement #workerscompensationseminar #dsba #chasecenterontheriverfront #workerscompensationattorneys #aapan #californialegislativesummit #grangerestaurant #grangerestuarant #grangerestaurantandbar #hyattregencyalbuquerque #wcaofma
#newmexico #washington #selfinsured #greatertacomaconventioncenter

Q: When a settlement includes compensation for future medical expenses, it is referred to as... ➖➖ Ref: Workers’ Compensation Medicare Set-Aside Arrangement (WCMSA) Reference Guide v2.9 ➖➖ Sect: 4.1.1 Commutation and Compromise ➖➖ A: a “WC commutation case.” ➖➖ #workerscomp #workerscompensation #liability #secondpayer #medicaresetasides #msa #claimant #applicant #cms #compexmsa #riskmanagement #workerscompensationseminar #dsba #chasecenterontheriverfront #workerscompensationattorneys #aapan #californialegislativesummit #grangerestaurant #grangerestuarant #grangerestaurantandbar #hyattregencyalbuquerque #wcaofma #newmexico #washington #selfinsured #greatertacomaconventioncenter - 5 months ago

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Q: When a settlement includes compensation for medical expenses incurred prior to the settlement date, it is referred to as...
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Ref: Workers’ Compensation Medicare Set-Aside Arrangement (WCMSA) Reference Guide v2.9
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Sect: 4.1.1 Commutation and Compromise
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A: Workers’ Compensation Compromise Case.
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#workerscomp #workerscompensation #liability #secondpayer #medicaresetasides #msa #claimant #applicant #cms #compexmsa #riskmanagement #workerscompensationseminar #dsba #chasecenterontheriverfront #workerscompensationattorneys #aapan #californialegislativesummit #grangerestaurant #grangerestuarant #grangerestaurantandbar #hyattregencyalbuquerque #wcaofma
#newmexico #washington #selfinsured #greatertacomaconventioncenter

Q: When a settlement includes compensation for medical expenses incurred prior to the settlement date, it is referred to as... ➖➖ Ref: Workers’ Compensation Medicare Set-Aside Arrangement (WCMSA) Reference Guide v2.9 ➖➖ Sect: 4.1.1 Commutation and Compromise ➖➖ A: Workers’ Compensation Compromise Case. ➖➖ #workerscomp #workerscompensation #liability #secondpayer #medicaresetasides #msa #claimant #applicant #cms #compexmsa #riskmanagement #workerscompensationseminar #dsba #chasecenterontheriverfront #workerscompensationattorneys #aapan #californialegislativesummit #grangerestaurant #grangerestuarant #grangerestaurantandbar #hyattregencyalbuquerque #wcaofma #newmexico #washington #selfinsured #greatertacomaconventioncenter - 5 months ago

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Q: It is important to note, however, that CMS approval of a proposed WCMSA amount is...
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Ref: Workers’ Compensation Medicare Set-Aside Arrangement (WCMSA) Reference Guide v2.9
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Sect: 4.0 Should I Consider Submitting a WCMSA Proposal?
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A: Not required.
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#workerscomp #workerscompensation #compexmsa #secondpayer #medicaresetasides #msa #claimant #applicant #cms #compexmsa #riskmanagement #workerscompensationseminar #dsba #chasecenterontheriverfront #workerscompensationattorneys #aapan #californialegislativesummit #grangerestaurant #grangerestuarant #grangerestaurantandbar #hyattregencyalbuquerque #wcaofma
#newmexico #washington #selfinsured #greatertacomaconventioncenter

Q: It is important to note, however, that CMS approval of a proposed WCMSA amount is... ➖➖ Ref: Workers’ Compensation Medicare Set-Aside Arrangement (WCMSA) Reference Guide v2.9 ➖➖ Sect: 4.0 Should I Consider Submitting a WCMSA Proposal? ➖➖ A: Not required. ➖➖ #workerscomp #workerscompensation #compexmsa #secondpayer #medicaresetasides #msa #claimant #applicant #cms #compexmsa #riskmanagement #workerscompensationseminar #dsba #chasecenterontheriverfront #workerscompensationattorneys #aapan #californialegislativesummit #grangerestaurant #grangerestuarant #grangerestaurantandbar #hyattregencyalbuquerque #wcaofma #newmexico #washington #selfinsured #greatertacomaconventioncenter - 5 months ago

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Q: Once the CMS-approved set-aside amount is exhausted and accurately accounted for to CMS, Medicare will?
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Ref: Workers’ Compensation Medicare Set-Aside Arrangement (WCMSA) Reference Guide
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Sect: 3.0 What Are Workers’ Compensation Medicare Set- Aside Arrangements?
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A: Pay primary for future Medicare-covered expenses related to the WC claim that exceed the approved set-aside amount.
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#workerscomp #workerscompensation #liability #secondpayer #medicaresetasides #msa #claimant #applicant #cms #compexmsa #riskmanagement #workerscompensationseminar #dsba #chasecenterontheriverfront #workerscompensationattorneys #aapan #californialegislativesummit #grangerestaurant #grangerestuarant #grangerestaurantandbar #hyattregencyalbuquerque #wcaofma
#newmexico #washington #selfinsured #greatertacomaconventioncenter

Q: Once the CMS-approved set-aside amount is exhausted and accurately accounted for to CMS, Medicare will? ➖➖ Ref: Workers’ Compensation Medicare Set-Aside Arrangement (WCMSA) Reference Guide ➖➖ Sect: 3.0 What Are Workers’ Compensation Medicare Set- Aside Arrangements? ➖➖ A: Pay primary for future Medicare-covered expenses related to the WC claim that exceed the approved set-aside amount. ➖➖ #workerscomp #workerscompensation #liability #secondpayer #medicaresetasides #msa #claimant #applicant #cms #compexmsa #riskmanagement #workerscompensationseminar #dsba #chasecenterontheriverfront #workerscompensationattorneys #aapan #californialegislativesummit #grangerestaurant #grangerestuarant #grangerestaurantandbar #hyattregencyalbuquerque #wcaofma #newmexico #washington #selfinsured #greatertacomaconventioncenter - 5 months ago

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Q: Medicare may also refuse to pay for future medical expenses related to the WC claim until?
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Ref: Workers’ Compensation Medicare Set-Aside Arrangement (WCMSA) Reference Guide v2.9
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Sec: 3.0 What Are Workers’ Compensation Medicare Set- Aside Arrangements?
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A: “Until the entire settlement is exhausted. These arrangements are typically not created until the individual’s condition has stabilized so that it can be determined, based on past experience, what the future medical expenses may be. CMS prefers this, so that future medical and prescription drug costs can be planned with a reasonable degree of certainty.”
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#medicareforall #medicare #medicaid #workcomp #workerscomp #workerscompensation #liability #secondpayer #medicaresetasides #msa #claimant #applicant #cms #compexmsa #riskmanagement #workerscompensationseminar #dsba #chasecenterontheriverfront #workerscompensationattorneys #aapan #californialegislativesummit #grangerestaurant #grangerestuarant #grangerestaurantandbar #hyattregencyalbuquerque #wcaofma
#newmexico #washington #selfinsured #greatertacomaconventioncenter

Q: Medicare may also refuse to pay for future medical expenses related to the WC claim until? ➖➖ Ref: Workers’ Compensation Medicare Set-Aside Arrangement (WCMSA) Reference Guide v2.9 ➖➖ Sec: 3.0 What Are Workers’ Compensation Medicare Set- Aside Arrangements? ➖➖ A: “Until the entire settlement is exhausted. These arrangements are typically not created until the individual’s condition has stabilized so that it can be determined, based on past experience, what the future medical expenses may be. CMS prefers this, so that future medical and prescription drug costs can be planned with a reasonable degree of certainty.” ➖➖ #medicareforall #medicare #medicaid #workcomp #workerscomp #workerscompensation #liability #secondpayer #medicaresetasides #msa #claimant #applicant #cms #compexmsa #riskmanagement #workerscompensationseminar #dsba #chasecenterontheriverfront #workerscompensationattorneys #aapan #californialegislativesummit #grangerestaurant #grangerestuarant #grangerestaurantandbar #hyattregencyalbuquerque #wcaofma #newmexico #washington #selfinsured #greatertacomaconventioncenter - 5 months ago

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Q: Medicare can be a party to...
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Ref: Workers’ Compensation Medicare Set-Aside Arrangement (WCMSA) Reference Guide v2.9
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Sect: 3.0 What Are Workers’ Compensation Medicare Set- Aside Arrangements
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Ans: “Any claim by a beneficiary or other entity against a responsible party or his or her liability insurance, and can participate in negotiations concerning the total liability insurance payment and the amount to be repaid to Medicare.”
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#subrogation #medicareforall #medicare #medicaid #workcomp #workerscomp #workerscompensation #liability #secondpayer #medicaresetasides #msa #claimant #applicant #applicants #cms #compexmsa

Q: Medicare can be a party to... ➖➖ Ref: Workers’ Compensation Medicare Set-Aside Arrangement (WCMSA) Reference Guide v2.9 ➖➖ Sect: 3.0 What Are Workers’ Compensation Medicare Set- Aside Arrangements ➖➖ Ans: “Any claim by a beneficiary or other entity against a responsible party or his or her liability insurance, and can participate in negotiations concerning the total liability insurance payment and the amount to be repaid to Medicare.” ➖➖ #subrogation #medicareforall #medicare #medicaid #workcomp #workerscomp #workerscompensation #liability #secondpayer #medicaresetasides #msa #claimant #applicant #applicants #cms #compexmsa - 5 months ago

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Q: “Subrogation” literally means...
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Ref: Workers’ Compensation Medicare Set-Aside Arrangement (WCMSA) Reference Guide Version 2.9
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Sect: 3.0 What Are Workers’ Compensation Medicare Set- Aside Arrangements?
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A: “The substitution of one person or entity for another. If Medicare exercises its subrogation rights, Medicare is a claimant against the responsible party and the liability insurer to the extent that Medicare has made payments to or on behalf of the claimant for services related to claims against the responsible party (and the responsible party’s liability insurance).”
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#subrogation #medicareforall #medicare #medicaid #workcomp #workerscomp #workerscompensation #liability #secondpayer #medicaresetasides #msa #claimant #applicant #applicants #cms #compexmsa

Q: “Subrogation” literally means... ➖➖ Ref: Workers’ Compensation Medicare Set-Aside Arrangement (WCMSA) Reference Guide Version 2.9 ➖➖ Sect: 3.0 What Are Workers’ Compensation Medicare Set- Aside Arrangements? ➖➖ A: “The substitution of one person or entity for another. If Medicare exercises its subrogation rights, Medicare is a claimant against the responsible party and the liability insurer to the extent that Medicare has made payments to or on behalf of the claimant for services related to claims against the responsible party (and the responsible party’s liability insurance).” ➖➖ #subrogation #medicareforall #medicare #medicaid #workcomp #workerscomp #workerscompensation #liability #secondpayer #medicaresetasides #msa #claimant #applicant #applicants #cms #compexmsa - 6 months ago

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workshop by request utk asuransi swasta yg ingin mengenal lbh dalam ttg #inacbg designed by @mayangjano #cob #secondpayer #bpjs #jkn #doktermayang

workshop by request utk asuransi swasta yg ingin mengenal lbh dalam ttg #inacbg designed by @mayangjano #cob #secondpayer #bpjs #jkn #doktermayang - 5 years ago

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