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Workers' Compensation Medicare Set-Aside Reference Guide v. 2.6 (MS7002)


Author(s): Department of Health and Human Services


Pre-Approved for: ACM, CA BRN, CCM, CDMS, CLCP, CNLCP, COHN/COHN-S, CRC, Delaware BON, Florida BON, MSCC, RNs


Credit Hours: 10


Course Description

The following course is the Workers' Compensation Medicare Set-Aside Arrangement Reference Guide - Version 2.6. This guide was written to help you understand the process used by the Centers for Medicare & Medicaid Services (CMS) for approving proposed Workers' Compensation Medicare Set-Aside Arrangement (WCMSA) amounts and to serve as a reference for those choosing to submit such amounts to CMS for approval.


Course Format

This course is online. All course material is available online and is accessible immediately after purchase from your account homepage.

Course Objectives

  1. Workers' Compensation Medicare Set-Aside Arrangement Reference Guide - Version 2.6

  2. Explain the WCMSA submission process, variations in the process and identify the information needed for approval

  3. Discuss the 10 WCRC medical review steps

Course Overview

The following course is the Workers' Compensation Medicare Set-Aside Arrangement Reference Guide - Version 2.6. This guide was written to help you understand the process used by the Centers for Medicare & Medicaid Services (CMS) for approving proposed Workers' Compensation Medicare Set-Aside Arrangement (WCMSA) amounts and to serve as a reference for those choosing to submit such amounts to CMS for approval.

  1. About This Reference Guide

  2. Introduction to Workers' Compensation and Medicare

  3. What Are Workers' Compensation Medicare Set-Aside Arrangements?

  4. Should I Consider Submitting a WCMSA Proposal?

  5. WCMSA Funding Structures

  6. Who Can Help with the WCMSA Process?

  7. How is CMS Approval of a WCMSA Amount Obtained?

  8. Should CMS Review a WCMSA?

  9. WCMSA Submission Process Overview

  10. Information Needed for WCMSA Submission

  11. How do I submit a WCMSA?

  12. What Happens after a WCMSA Has Been Submitted?

  13. Sample Submission

  14. Tips for Improving Your WCMSA Review Process

  15. Review Process and Policies

  16. Re-Review

  17. Account Set-Up and Administration

  18. CMS' Monitoring

  19. What Happens if Circumstances Change?

  20. Appendix

  21. Figures

  22. Tables

Course Price

$80.00

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