Stacy A. Tees, partner in Goldberg Segalla’s Workers’ Compensation group, explores in CLM Magazine the challenges employers face in workers’ compensation claims with the changing, sometimes vague, reporting requirements of the Centers for Medicare & Medicaid Services.
Stacy, in her piece written for the magazine, reviews and analyzes Section 111 of the Medicare, Medicaid, and SCHIP Extension Act of 2007.
She also examines the Medicare IVIG Access and Strengthening Medicare and Repaying Taxpayers Act of 2012, as well as the reference guide for the Workers’ Compensation Medicare Set-Aside Arrangements, and how their intricacies relate to workers’ compensation claims and reporting.
“The only clear takeaway from CMS’ guidelines is that the parties must consider Medicare’s interests in all workers’ compensation cases, and only approval of a submitted MSA is guaranteed to protect Medicare’s interests,” Stacy writes. “There is currently no plan to establish a set of standards for specific conditions. As such, it is imperative to have the documentation to support the amount attributed for future medical payments from the settlement amount.”
“Making Sense of New Reporting Requirements,” CLM Magazine, August 29, 2022
Stacy A. Tees focuses her practice on all aspects of workers’ compensation law, including conducting and participating in the deposition of medical experts and fact witnesses, advising clients in preparation for litigation, and the presentation of matters before workers’ compensation judges, the Pennsylvania Workers’ Compensation Appeal Board, and Commonwealth Court. Stacy represents employers, insurance carriers, and third-party administrators throughout the Commonwealth of Pennsylvania.