WCMSA Practitioner Guides

In-depth references for adjusters, defense counsel, and MSA professionals: 48-hour preparation, the end of $0 reviews, the April 2025 Section 111 expansion, and more.

Section 17 of the WCMSA Reference Guide: How a Funded MSA Is Administered After Settlement

A practitioner-grade walkthrough of Section 17 of the WCMSA Reference Guide v4.5. Self-administration vs. professional a...

15 min read

WCMSA Review Thresholds: The $25,000 and $250,000 Rules and What They Actually Decide

A practitioner reference on the CMS WCMSA review thresholds. Who qualifies, how the numbers are computed, what voluntary...

10 min read

Responding to a WCRC Counter-Offer: The Re-Review and Amended Review Process

A practitioner playbook for responding to a CMS WCRC counter-offer on a submitted WCMSA. The four response options, the ...

13 min read

Anatomy of a WCMSA: A Section-by-Section Walkthrough of What's in the Report

A practitioner reference walking the structure of a complete WCMSA report. Cover, demographics, treatment summary, alloc...

18 min read

Professional vs. Self-Administered MSA: When Each Path Is the Right One

An honest decision framework for professional vs. self-administered WCMSAs. CMS preference, costs, failure modes, and wh...

18 min read

Rated-Age Methodology for WCMSAs: How They Work, Why They Matter, and What to Do With Them

How rated ages are computed for WCMSAs, which mortality tables CMS accepts, turnaround norms, and how the rated age comp...

16 min read

The April 2025 Section 111 Expansion: A Practitioner's Reference for the New WCMSA Reporting Fields

A practitioner reference for the seven new WCMSA fields added to Section 111 NGHP reporting, effective April 4, 2025. Fi...

12 min read

WCMSA Preparation in 48 Hours: What's Actually Possible and What's Not

An honest practitioner assessment of expedited WCMSA preparation. Industry baseline, what compresses with automation, wh...

11 min read

The End of $0 WCMSA Proposals: What CMS's July 2025 Policy Means for Your Cases

What CMS's July 17, 2025 policy ending review of $0 WCMSA proposals means for case methodology, documentation depth, and...

12 min read

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