Life Expectancy and the Medicare Set-Asides (MSA)
by Lori Dickson, MSN, RN, MSCC, CLCP MSCC Commissioner Director of Clinical Operations ExamWorks Compliance Solutions
One of the key components to the MSA is the calculation of life expectancy. This life expectancy is then used when developing the future care plan to determine frequency of care and aid in the calculation of the cost for the allocated care.
Clearing Up Confusion Around Non-Submit MSAs - There Is a Choice
by Barbara Fairchild, Co-Chief Executive Officer, IMPAXX and Jon Gunter, Co-Chief Executive Officer, IMPAXX
In January 2022, the Centers for Medicare & Medicaid Services (CMS) released Workers' Compensation Medicare Set-Aside (WCMSA) Reference Guide version 3.51 (Guide) to "clarify" the use of non-submit (or evidence-based Medicare Set-Asides) when settling future medicals. However, the language used in the Guide had quite the opposite effect, increasing confusion for many regarding the use of these allocations.
ICHCC: Certifying Health Care Professionals since 1994
We welcome you to the ICHCC™ blog! Many who phone the ICHCC™ or visit the ICHCC.org website are health care professionals looking to expand their careers by adding one of our certifications to their field of expertise. We are the oldest and largest certification agency in the United States and Canada for Life Care Planning and in the United States for Medicare Set-aside Consultants and allocators. The ICHCC™ is always here to discuss and assist you in any way that we can and we welcome your calls and inquiries.