New Medicare Set-Aside Reference Guide a Mixed Bag

A much-heralded re-review process isn’t the only significant change found in a new Medicare set-aside guidance document, which also includes provisions for utilization review denials and state-specific limits on workers’ comp benefits. The Centers for Medicare and Medicaid Services on July 31 published Version 2.6 of the Workers’ Compensation Medicare Set Aside Reference Guide, which is dated July 10. Although some of the changes may seem to have promise as a way to reduce Medicare set-aside costs, professionals who work in the MSA field say the revisions are open to in...