Breaking CMS Medicare Updates

4/11/2025 - 9 min read

CMS Releases Section 111 NGHP User Guide (Version 8.0) – Breaking Down CMS’s New Updates

CMS has released an updated Section 111 NGHP User Guide (Version 8.0, April 7, 2025) regarding S.111 reporting related to non-group health plans.

4/9/2025 - 4 min read

CMS Releases WCMSA Reference Guide and Self-Administration Tool-Kit

CMS released an updated WCMSA Reference Guide (Version 4.3) and a new WCMSA Self-Administration Tool Kit (Version 1.7).

1/23/2025 - 5 min read

CMS Will End One-Year Waiting Period to File WCMSA Amended Review Requests

CMS has a released an Alert advising that effective 4/7/2025, Amended Review requests “will be allowed at any time a WCMSA case is approved.”

1/22/2025 - 11 min read

CMS Releases WCMSA Reference Guide 4.2-CMS to End Review of $0 WCMSAs

CMS releases an updated WCMSA Reference Guide (Version 4.2, January 17, 2025).

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.

10/28/2024 - 31 min read

CMS Unveils New Webpage Resource for NGHP Section 111 CMPs

CMS introduces two new resources related to NGHP Section 111 civil money penalties (CMPs): the NGHP Civil Money Penalties webpage and the CMPs workflow.

10/22/2024 - 17 min read

CMS Addresses NGHP Section 111 Penalties During its October 17 Webinar

CMS conducted its second webinar on NGHP Section 111 CMPs, covering various topics related to CMPs for NGHP RREs.

10/11/2024 - 17 min read

CMS Releases Section 111 NGHP User Guide (Version 7.7)

CMS released an updated Section 111 NGHP User Guide for reporting on non-group health plans: liability, no-fault, and workers' comp.

10/1/2024 - 1 min read

CMS to Host Section 111 NGHP CMPs Webinar on October 17th

CMS to host a Section 111 NGHP Section 111 CMP that will include reminders about Final Rule, the auditing process and important dates.

9/25/2024 - 13 min read

Voluntary Testing for TPOC/WCMSA Reporting Starts October 7, 2024

Reminder for Section 111 NGHP RREs: CMS’s voluntary testing for the new TPOC/WCMSA reporting starts October 7, 2024.

9/25/2024 - 8 min read

CMS’s CMPs Final Rule is “Applicable” October 11, 2024

CMS's CMPs final rule becomes “applicable” on October 11^th regarding Section 111 penalties.

8/22/2024 - 1 min read

CMS to Host Section 111 NGHP Webinar – September 12th at 1:00 p.m. ET

CMS to host a Section 111 NGHP webinar, featuring reporting best practices and a Q&A session.

7/30/2024 - 5 min read

Spotlight on WCMSAs – Nutshell Resource

How to prepare for CMS’ new TPOC reporting requirements – Nutshell resource summary.

7/30/2024 - 15 min read

Spotlight on WCMSAs - Preparing for CMS' New TPOC Reporting Requirements

Starting April 4, 2025, CMS requires Section 111 RREs to report specific WCMSA data for all Medicare beneficiary settlements in TPOC reporting.

Breaking CMS Medicare Updates

CMS releases Section 111 NGHP User Guide (Version 8.1)

CMS Releases Section 111 NGHP User Guide (Version 8.0) – Breaking Down CMS’s New Updates

CMS Releases WCMSA Reference Guide and Self-Administration Tool-Kit

CMS Will End One-Year Waiting Period to File WCMSA Amended Review Requests

CMS Releases WCMSA Reference Guide 4.2-CMS to End Review of $0 WCMSAs

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

CMS Unveils New Webpage Resource for NGHP Section 111 CMPs

CMS Addresses NGHP Section 111 Penalties During its October 17 Webinar

CMS Releases Section 111 NGHP User Guide (Version 7.7)

CMS to Host Section 111 NGHP CMPs Webinar on October 17th

Voluntary Testing for TPOC/WCMSA Reporting Starts October 7, 2024

CMS’s CMPs Final Rule is “Applicable” October 11, 2024

CMS to Host Section 111 NGHP Webinar – September 12th at 1:00 p.m. ET

Spotlight on WCMSAs – Nutshell Resource

Spotlight on WCMSAs - Preparing for CMS' New TPOC Reporting Requirements