Once Again The CMS Confuses Me
Again the CMS confuses me. In many of the LinkedIn and other discussion boards on Workers Compensation, the comments are flying. There is a supposed insider memo from the CMS that indicates how the drugs that are disapproved by Medicare Part D should not be allowed in the future medical calculation of the Medicare Set-asides.
I read this in a supposed healthcare/Workers Comp expert blog. That is a dangerous slippery slope to start quoting insider confidential memos as real. One of my good friends and a reporter out of WV refuses to quote “confidential sources.” I have also decided to take this same tact, so I will not comment on it further.
I then saw later today that many publications quote this as fact. There was an official memo – not an insider source? Whew! As we have all seen, the CMS can evaluate any claim with any value and it must be accepted.
If the claimant and his/her attorney are going to settle their file and one of their current and future medications are not on the approved Medicare Part D list, then their settlement demand, of course, is going to increase by the present value of that amount. The amount is not just not going to disappear.
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