The Medicare Compliance Blog

Gould & Lamb's team of Medicare Compliance blogging experts share the latest compliance industry news about Medicare compliance reporting.

Workers Compensation Review Center (WCRC) Changes Position on Development Letters

Legal Building As a result of Gould and Lamb’s continued advocacy with CMS Central Office, WCRC, and Regional Offices, Workers’ Compensation Medicare Set Aside submitters will see a light at the end of the tunnel. Based on direct conversations, we anticipate a turn-around in what has been an arduous approval process with repeated development requests that were neither germane nor reasonable. The WCRC is starting...

Read the Full Post »

Self Administration Toolkit for WCMSAs

Referral Forms Centers for Medicare and Medicaid Services added a Self Administration Toolkit for Workers’ Compensation Medicare Set-Aside Arrangements on April 11

Read the Full Post »

House Passes Measure to Delay ICD-10 Transition

Rayburn Building DC By voice vote on Thursday, March 27, the House approved another temporary (one-year) fix to prevent steep cuts in Medicare’s physician reimbursement scheduled to take effect March 31. It now moves to the Senate which is expected to take action within the next few days. The draft legislation does not address the problems with the Workers' Compensation Medicare Set-Aside approval process. However, there is language that speaks to

Read the Full Post »

After FDA Authorization, Lots of Pressure to Rescind Zohydro ER Approval

drugs In October 2013, the U.S. Food and Drug Administration (FDA) went against the recommendation of its own advisory committee and approved Zohydro® ER. The FDA's Anesthetic and Analgesic Drug Advisory Committee of independent experts voted 11 to 2 to recommend against approval of ...

Read the Full Post »

CMS Clarifies Its February Alerts Regarding Section 111, MMSEA Reporting

Legal Building On February 28, 2014 the Centers for Medicare and Medicaid Services (CMS) published its formal notice of the change in the reporting threshold for liability (including self insurance) settlements, judgments, awards...

Read the Full Post »