Workers’ Compensation Review Contractor (WCRC)

10/10/2023 - 2 min read

An award-winning effort breaks new ground in medical record review

Verisk leaders earn Technology Innovation honoree status in the 2023 PC360 Insurance Luminary program for their work on Discovery Navigator

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.

10/6/2020 - 1 min read

CMS releases new WCMSA Reference Guide (Version 3.2)

On 10/5/20, CMS released its latest version of the WCMSA Reference Guide, Version 3.2. This guides replaces version 3.1, released on 5/11/20.

3/30/2020 - 9 min read

Settling claims in unsettling times

In a time of social distancing and uncertainty, many are left wondering how our current working and social paradigm will impact workers’ compensation claims handling – especially being able to close claims.

10/31/2019 - 6 min read

CMS releases new WCMSA Reference Guide (Version 3.0)

CMS has released a revised Workers’ Compensation Medicare Set-Aside (WCMSA) Reference Guide (Version 3.0, October 10, 2019).

2/25/2019 - 1 min read

CMS to mask health insurance claim number and social security number on contractor correspondence starting April 2019

Starting 4/1/19, CMS’s Coordination of Benefits and Recovery Program program will mask the social security number (SSN) and SSN-portion of the health insurance claim number on all ongoing letters.

2/13/2019 - 10 min read

Top 10 Medicare Secondary Payer trends in 2019

MSP compliance is rapidly evolving – policy changes, stricter regulations, new legislation, and emerging case law are making compliance more complex.

1/7/2019 - 4 min read

CMS releases new WCMSA Reference Guide (Version 2.9)

On 1/4/19, CMS released their latest version of the WCMSA reference guide Version 2.9.

1/2/2019 - 1 min read

Government shutdown – MSP update

As the partial government shutdown continues, questions are being raised as to the shutdown’s impact on CMS activities concerning Medicare Secondary Payer compliance.

3/23/2018 - 1 min read

CMS releases WCMSA reference guide (Version 2.7)

The Centers for Medicare and Medicaid Services (CMS) has released its latest WCMSA Reference Guide (Version 2.7).

3/8/2018 - 3 min read

WCMSA update: CMS holds WCRC transition webinar

On March 7, 2018, CMS held a transition webinar regarding its upcoming Workers’ Compensation Review Contractor (WCRC) transition.

3/2/2018 - 1 min read

WCMSA update: New WCRC takes over March 19th – webinar set for March 7th

CMS has announced that its new Workers Compensation Review Contractor, Capitol Bridge, LLC will assume WCRC responsibilities on March 19, 2018. CMS is holding a transition webinar on March 7, 2018 at 1:00 p.m. EST to address this new change.

1/23/2018 - 1 min read

Government shutdown ends – Congress and President reach deal

This brief government shutdown did not affect Medicare Secondary Payer operations as they are essential and considered part of the Medicare Integrity Program. Thus, operations at the applicable MSP contractors, including the WCRC, CRC and BCRC continued as normal during the shutdown.

1/22/2018 - 1 min read

Government shutdown & Medicare Secondary Payer impact

Medicare Secondary Payer operations will not be affected as they are essential and considered part of the Medicare Integrity Program. However, were are receiving word that an increasing number of Social Security Administration offices across the country will not be fulfilling requests for benefits verification by third-parties during the shutdown.

12/15/2017 - 1 min read

GAO denies WCRC bid protests

In response to CMS awarding the WCRC bid to Capitol Bridge, LLC, KEN Consulting Inc. and Arch System, LLC filed formal bid protests with the Government Accountability Office (GAO) challenging this decision.