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September 07, 2018
Michael R. Merlino II, ESQ
SVP Medicare Compliance
The quantum mechanics of a CMS-approved Medicare set-aside

In my spare time, I enjoy reading and learning about the strangeness of the subatomic world. Quantum theory is difficult to understand and really hard to believe because it is counterintuitive and contrary to what we witness in reality. Quantum physi…

September 07, 2018 by Michael R. Merlino II, ESQ, SVP Medicare Compliance
July 14, 2017
Mike Merlino
SVP Medicare Compliance
MSAs: A second bite at the apple

CMS now permits some old MSAs to be re-approved Before this week, the Centers for Medicare & Medicaid Services (CMS) had a simple philosophy: Parties get one bite at the apple when it comes to CMS approval. However, on Monday, CMS released an upda…

July 14, 2017 by Mike Merlino, SVP Medicare Compliance
November 04, 2016
Mike Merlino
SVP Medicare Compliance
CMS rescinds changes to zero dollar MSAs- for now

Last week I posted that CMS appeared to have altered the zero dollar MSA approval process. This caused a great deal of discussion and activity. This has resulted in CMS releasing the following bulletin indicating that no  changes …

November 04, 2016 by Mike Merlino, SVP Medicare Compliance
October 28, 2016
Mike Merlino
SVP Medicare Compliance
CMS appears to have altered zero dollar MSAs approval process

For the past several years, we have been successful in obtaining zero dollar MSAs approved by the MSA review contractor. The case, however, had to meet very strict criteria: The case was denied; There had to be no payments for indemnity; There…

October 28, 2016 by Mike Merlino, SVP Medicare Compliance
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