White Paper

Essentials of MSA Non-Submission Programs

Best Practices for MSA Non-Submission Programs in WC.

White Paper Summary

In a recent National Council of Self-Insurers (NCSI) webinar on successfully managing Medicare Set-Aside (MSA) programs, EK Health’s Jake Reason, Vice President of MSA Services, discussed best practices for MSA Non-Submission Programs in workers’ compensation. Key topics included the following:

• Initial key considerations for establishing a non-submission program
• Key stakeholders
• Designing the methodology for creating Evidenced-Based Medicine MSAs
• Establishing relationships with defense panel
• Measuring the success of a non-submission program

What is a Non-Submission Program? Essentially, a non-submission program exercises the option of not submitting an MSA for approval from the Centers for Medicare and Medicaid Services (CMS). As the MSA review process is voluntary, sometimes it is advantageous for the parties in workers’ compensation cases to use the “non-submit” option.
In sharing the key elements of a non-submission program, Jake encouraged participants to consider whether this option is a good fit.

To learn more, read the full story below.


To learn more about EK Health Services, visit ekhealth.com.

 

As a leading national managed care company, EK Health Services, Inc. sets the gold standard for medical case management, utilization review, medical bill review, network management, and Medicare Set-Asides. We facilitate quality, cost-efficient medical treatment for workers' compensation claims.

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