CMS Finalizes Rule Allowing WC Settlement Parties to Appeal Conditional Payments

As of April 28, parties settling workers’ compensation claims will be able to challenge the amount the Centers for Medicare and Medicaid Services seeks to recover in conditional payments. But Medicare Secondary Payer Act experts are concerned that the four-step appeals process could take years to navigate. CMS finalized rules in the Friday edition of the Federal Register opening up the appeals process for conditional payments to “applicable plans” – that is, liability insurance, no-fault insurance and workers’ compensation. Medicare set-asides contain funds to ...