Workers' Compensation Medicare Set-Aside Reference Guide V. 3.3 (MS7005)

Author(s): Department of Health and Human Services

Pre-Approved for: ACM, CA BRN, CCM, CDMS, CE Broker Provider, Delaware BON, MSCC

Credit Hours: 10

CCM Credit Hours: 6

CDMS Credit Hours: 6

Course Format

This course is online. All course material is available online and is accessible immediately after purchase from your account homepage. Certificate of Completion is available immediately upon passing the exam.

Course Overview

The following course is the Workers' Compensation Medicare Set-Aside Arrangement Reference Guide - Version 3.3. 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 Objectives

  1. Explain "What Are Workers' Compensation Medicare Set-Aside Arrangements?"

  2. List considerations for submitting a WCMSA proposal.

  3. Discuss the WCMSA submission process and variations in the process.

  4. Discuss the 10 WCRC medical review steps.

  5. Detail the information needed for WCMSA Submission.

  6. Discuss the process if circumstances change.

Course Outline

  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

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Customer Testimonial

This course was a good augment to my Medicare Set-aside Consultant Certified (MSCC) credential studies.
Burt A.