No-Fault Medicare Set-Aside (NFMSA)

1/8/2025 - 3 min read

CMS Releases Section 111 NGHP User Guide (Version 7.9)

CMS has released an updated Section 111 NGHP User Guide regarding reporting related to NGHPs (liability, no-fault and workers’ compensation).

Colleagues Conversing Around Conference Table

12/19/2024 - 5 min read

CMS Retains its $750 “Low Dollar” Threshold for 2025

CMS has announced its low-dollar reporting and recovery thresholds for 2025, retaining the current $750 low-dollar threshold for certain cases.

Office Working Concentrating On Laptop Screen

12/11/2024 - 8 min read

New Section 111 NGHP User Guide (Version 7.8) – CMS Adds New Section Regarding WCMSAs

CMS released an updated Section 111 NGHP User Guide (Version 7.8) regarding S.111 reporting related to non-group health plans.

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.

10/28/2021 - 2 min read

CMS releases new NGHP Section 111 policy alert regarding the reporting of incorrect no-fault policy limits

The Centers for Medicare and Medicaid Services (CMS) has released a new NGHP Section 111 Policy Alert addressing the reporting of incorrect no-fault policy limits.

6/6/2017 - 3 min read

Fact check time for LMSA/NFMSA developments

The real question is: What, when, and how is CMS going to step into the liability and no-fault arena and how will it affect claims management?

3/20/2017 - 8 min read

2017 Medicare watch list

It’s clear there will be no shortage of Medicare Secondary Payer developments to keep an eye on this year. Here’s an outline of MSP events to watch in 2017.

3/20/2017 - 5 min read

Liability MSAs: What we know and what to expect

The dust is still swirling around the Liability Medicare Set-Aside (LMSA) issue, but a few areas clearly show Medicare’s plan and intended next steps.

3/8/2017 - 5 min read

New development hints at future MSA expansion to liability: CMS updates Common Working File for LMSAs and NFMSAs

CMS has issued a Change Request (CR-9893) to update it's Common Working File regarding both Liability and No-Fault Medicare Set-Aside arrangements.