Centers for Medicare & Medicaid Services (CMS)

12/9/2025 - 1 min read

CMS Will Hold a NGHP Section 111 Penalties Webinar – January 15, 2026, at 1:00 p.m. ET

Join CMS’s NGHP Section 111 Penalties webinar on Jan. 15, 2026, for updates on CMP audits, compliance reminders, and Q&A.

12/4/2025 - 7 min read

CMS Announces New WCMSA Part D Data Share and Part D Coordination of Benefits Option Starting February 2026

CMS will begin sharing WCMSA prescription data with Part D plans in 2026, introducing new prior authorization and coordination of benefits options.

12/3/2025 - 4 min read

CMS Releases WCMSA Statistics for Fiscal Years 2021-2025

CMS released WCMSA statistics for FY 2021–2025, revealing shifts in review volume, settlement trends, and new reporting challenges. See key insights.

Cms S111 Nghp Blog Image With People Standing And Smiling

11/20/2025 - 16 min read

CMS releases Section 111 NGHP User Guide (Version 8.2)

CMS released Section 111 NGHP User Guide 8.2, noting updates in policy, technical requirements, and appendices impacting NGHP reporting.

11/19/2025 - 3 min read

CMS Retains its $750 “Low Dollar” Threshold for 2026

CMS has released its 2026 low dollar reporting and recovery thresholds. CMS is retaining its current $750 low dollar reporting and recovery threshold.

11/18/2025 - 13 min read

Defendant Ordered to Pay Full Settlement Amount – Despite Payment to CMS

An opinion from the Court of NJ addressed a situation where a defendant’s TPA reimbursed Medicare’s conditional payment claim directly.

11/18/2025 - 7 min read

Medicare Payment Advisory Commission Report Submitted to Congress

This article will discuss Medicare’s recently released “2025 Annual Report of the Boards of Trustees of the Federal Hospital Insurance.”

11/13/2025 - 8 min read

The Longest Federal Government Shutdown in History Ends

The longest federal shutdown in history ends. Learn what’s next for funding, Medicare, and compliance activities.

10/1/2025 - 6 min read

Federal Government Shuts Down – Information and Potential MSP Impact

Learn how the October 2025 federal government shutdown could affect Medicare, Social Security, and MSP compliance activities.

Coworkers Reviewing Data On Computer Monitor

9/17/2025 - 2 min read

Verisk’s Medicare Conditional Payment Resource Center – Improving Compliance With Automated Data-Driven Solutions

Verisk’s Medicare conditional payments resource center contains key information regarding Medicare recovery claims and data-driven solutions.

9/16/2025 - 1 min read

Starting September 20, 2025, CMS Will Use the 2023 CDC Life Table for WCMSAs

CMS has announced that it will use the “Table 1: Life Table for the total population: United States, 2023” to calculate life expectancy in WCMSAs.

Man Wearing Headphones Smiling At Laptop While Writing

9/11/2025 - 1 min read

CMS to hold TPOC/WCMSA Reporting Webinar – October 1st at 2:00 p.m. ET

CMS has announced that it is holding a Workers’ Compensation Medicare Set-Aside Reporting Webinar. It is scheduled for October 1st at 2:00 p.m. (ET).

8/28/2025 - 21 min read

Section 111 Penalties FAQs and How Verisk Can Help

Avoid costly Medicare compliance penalties. Learn Section 111 CMP FAQs and how Verisk helps insurers stay compliant

8/26/2025 - 2 min read

Verisk Casualty Solutions Attends 79th Annual WCI Conference

Verisk showcased WCMSA compliance solutions, AI medical record review, and Medicare insights at the 79th WCI Workers’ Compensation Conference.

8/12/2025 - 6 min read

Medicare’s Annual Report Predicts Rising Costs and Partial Trust Fund Depletion by 2033

This article will discuss Medicare’s recently released “2025 Annual Report of the Boards of Trustees of the Federal Hospital Insurance.”