Centers for Medicare and Medicaid Services (CMS)

CMS retains its $750 “Low Dollar” threshold for 2020

The Centers for Medicare and Medicaid Services (CMS) has released its low dollar recovery threshold for 2020 via a new alert . CMS is generally required to publish an annual low dollar threshold amount according to...

CMS’s expected release of its “future medicals” (LMSA) proposals delayed until February 2020

The Office of Information and Regulatory Affairs (OIRA) has issued an updated notice   indicating that the Centers for Medicare and Medicaid Services (CMS) expected release of its Notice of Proposed Rulemaking (NPRM)...

Release of CMS’s Section 111 penalty proposals delayed again – pushed back to December

The Office of Information and Regulatory Affairs (OIRA) has issued an updated notice indicating that the Centers for Medicare and Medicaid Services’ (CMS) expected release of its Notice of Proposed Rulemaking (NPRM)...

CMS’s new Section 111 Alert addresses MBI reporting

The Centers for Medicare and Medicaid Services (CMS) has issued an updated Section 111 Alert pertaining to non-group health claims (NGHP) regarding the Medicare Beneficiary Identifier (MBI) reporting.    Through CMS’s...

Liability Medicare Set Asides – Bracing for the Storm

For years, the Liability Medicare Set-Aside (LMSA) issue has been the source of much debate and frustration for liability claims payers. To date, there remain lingering questions on several fronts and the Centers for...

CMS holds webinar on WCMSA Electronic Attestations for Professional Administration

On November 6 th , the Centers for Medicare and Medicaid Services (CMS) held an informational webinar entitled  Workers’ Compensation Medicare Set-Aside (WCMSA) Electronic Attestation Enhancement for Professional...

CMS holds webinar on WCMSA Electronic Attestations for Self-Administered Accounts

On October 30 th , the Centers for Medicare and Medicaid Services (CMS) held an informational webinar entitled WCMSA Electronic Attestation Enhancement Webinar .  CMS hosted this webinar to discuss recent enhancements...

CMS releases new WCMSA Reference Guide (Version 3.0)

The Centers for Medicare and Medicaid Services (CMS) has released a revised Workers’ Compensation Medicare Set-Aside (WCMSA) Reference Guide (Version 3.0, October 10, 2019) . This guide replaces Version 2.9 of the gui...

CMS releases new NGHP Section 111 User Guide (Version 5.7)

The Centers for Medicare and Medicaid Services (CMS) has released an updated  Section 111 User Guide (Version 5.7, October 7, 2019)   regarding non-group health plans (liability, no-fault and workers’ compensation)....

CMS Releases WCMSA Self-Administration Toolkit 1.3

The Centers for Medicare and Medicaid Services (CMS) has released the latest edition of its Self-Administration Toolkit for Workers’ Compensation Medicare Set-Aside Arrangements (the Toolkit) (Version 1.3; October 10,...