What You Need to Know About The New MSA Workers’ Compensation Review Contractor
Since the end of 2016 when a request for proposal was issued by the Centers for Medicare and Medicaid Services (CMS), professionals who are impacted by Workers Compensation medicare set asides (WCMSA) have anxiously awaited a decision on the next Workers’ Compensation Review Contractor (WCRC). Would they retain Provider Resources, Inc. (PRI), who has worked out of contract for several months or would they go in a different direction?
In early September, CMS announced that Capitol Bridge LLC of Arlington, VA., would be awarded the contract. The WCRC is tasked with the duty of evaluating the merit of the WCMSA’s that are submitted to the CMS for approval.
One the biggest shifts in this contract versus the one granted to PRI in 2011 is the dollar amount. Capital Bridge’s contract is $60,759,236, roughly twelve times the size of the previous contract. It is believed that this is due in part to the expectation that there will be more Medicare Set-Aside (MSA) submissions in the coming years. It’s also expected that the WCRC will take on liability MSAs (LMSAs) as well.
It’s important to note that PRI has been praised in recent years for building an efficient process for Workers’ Compensation Medicare Set-Asides. It is the hope of many that Capital Bridge will improve upon that process.
Capital Bridge is a government services agency with extensive experience in the area of claims.
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Disclaimer: The information contained in this article is for general educational information only. This information does not constitute legal advice, is not intended to constitute legal advice, nor should it be relied upon as legal advice for your specific factual pattern or situation.