Conditional Payments

6/20/2025 - 9 min read

CMS discusses general WCMSA compliance points on its June 17th webinar

On June 17th, the Centers for Medicare and Medicaid Services held an “Introduction to Workers’ Compensation Medicare Set-Asides (WCMSAs) Webinar.”

6/2/2025 - 1 min read

CMS to Hold Intro to WCMSAs Webinar – June 17th at 2:00 p.m. ET

CMS has announced that it is holding an Introduction to workers’ compensation Medicare set-asides Webinar scheduled for June 17th at 2:00 p.m. (ET).

Coworkers Reviewing Data On Laptop Screens

5/28/2025 - 7 min read

Treasury Recovery Claims – 5 Things to Know and How Verisk Can Help

Treasury actions can take several forms, and take insurers by surprise, so it is important to keep in mind these five things and how Verisk can help.

4/22/2025 - 8 min read

CMS Conditional Payments – 5 Things to Know and How Verisk Can Help

Five essential tips into CMS’s recovery process works, considerations to improve your compliance practices, and how Verisk can help.

Colleagues Conversing Around Conference Table 3

3/13/2025 - 18 min read

Section 111 Reporting: CMS’s Road Map to Conditional Payment Recovery

Insurers must understand CMS's use of Section 111 data in the conditional payment recovery process to avoid consequences and liability.

7/18/2024 - 2 min read

Mid-Year “Round-Up” 2024 – Tracking Medicare and Claims Updates

Stay updated on 2024’s key claim trends: Medicare changes, Section 111 penalties, TPOC/WCMSA reporting, MSAs, FROI/SROI, TPLF, and more.

12/7/2023 - 11 min read

Breaking Down CMS’s Plans to Capture WCMSA Data

CMS has announced plans to require Section 111 RREs to report various data points related to WCMSA arrangements

11/7/2023 - 15 min read

CMS Releases New Section 111 Penalties FAQ Resource

CMS has now released a new Alert entitled CMS’s Medicare Secondary Payer and Certain Civil Money Penalties: Frequently Asked Questions

10/11/2023 - 24 min read

CMS’s Section 111 Penalties “Final Rule” Released – Breaking Down CMS’s Penalty Provisions and How They Impact Section 111 Reporting

In an important development, CMS has released its Section 111 penalties “Final Rule” --- CMS penalties will go live in 60 days.

9/18/2023 - 4 min read

CMS announces increase to Maximum Settlement Amount for Fixed Percentage Demand Calculation Option starting October 2, 2023

CMS has announced that effective October 2, 2023, the maximum total settlement amount for the Fixed Percentage Demand Calculation Option.

1/11/2023 - 22 min read

Understanding Medicare Treasury claims – avoiding the pitfalls and steps for success

In this article, the author provides a general overview of Treasury collection actions in relation to CMS’s non-group health plan recovery process.

12/15/2022 - 4 min read

CMS retains its $750 “Low Dollar” threshold for 2023

The Centers for Medicare and Medicaid Services (CMS) has released its 2023 low dollar reporting and recovery threshold.

6/30/2022 - 2 min read

Claims commitment: Empowering insurers on the innovation journey

The insurance industry has experienced tremendous change in the past few years.

4/14/2022 - 4 min read

CMS discusses the MSPRP’s “go paperless” function at recent webinar

CMS held a webinar to discuss the Medicare Secondary Payer Recovery Portal’s (MSPRP’s) “Go Paperless” function.

3/11/2022 - 1 min read

Medicare Secondary Payer recovery debts can now be paid using automated clearing house transactions

CMS has released a notice advising that MSP recovery debts may now be paid using ACH transactions.