Compliance

12/19/2025 - 2 min read

P&C Reporting Challenges Part 1: Building a Better Decision Engine

P&C reporting is complex, costly, constant, and compulsory—draining resources without revenue. Efficiency begins with the decision engine.

12/18/2025 - 8 min read

Section 111 Penalty Audits Begin in January 2026 – RREs May Start to Receive CMPs Notices this Coming January

CMS begins Section 111 audits in January 2026, and RREs may start receiving CMP notices. Learn what to expect and how to prepare for upcoming compliance risks.

Image Visualize Eo 1427 Moderinizing Payments

12/16/2025 - 6 min read

Executive Order 14247 “Modernizing Payments To and From America’s Bank Account” and Conditional Payment Reimbursement Options

What EO 14247 means for MSP reimbursement and whether CMS will continue accepting paper checks for conditional payments.

12/9/2025 - 1 min read

CMS Will Hold a NGHP Section 111 Penalties Webinar – January 15, 2026, at 1:00 p.m. ET

Join CMS’s NGHP Section 111 Penalties webinar on Jan. 15, 2026, for updates on CMP audits, compliance reminders, and Q&A.

12/4/2025 - 7 min read

CMS Announces New WCMSA Part D Data Share and Part D Coordination of Benefits Option Starting February 2026

CMS will begin sharing WCMSA prescription data with Part D plans in 2026, introducing new prior authorization and coordination of benefits options.

12/3/2025 - 4 min read

CMS Releases WCMSA Statistics for Fiscal Years 2021-2025

CMS released WCMSA statistics for FY 2021–2025, revealing shifts in review volume, settlement trends, and new reporting challenges. See key insights.

Cms S111 Nghp Blog Image With People Standing And Smiling

11/20/2025 - 16 min read

CMS releases Section 111 NGHP User Guide (Version 8.2)

CMS released Section 111 NGHP User Guide 8.2, noting updates in policy, technical requirements, and appendices impacting NGHP reporting.

11/19/2025 - 3 min read

CMS Retains its $750 “Low Dollar” Threshold for 2026

CMS has released its 2026 low dollar reporting and recovery thresholds. CMS is retaining its current $750 low dollar reporting and recovery threshold.

11/18/2025 - 13 min read

Defendant Ordered to Pay Full Settlement Amount – Despite Payment to CMS

An opinion from the Court of NJ addressed a situation where a defendant’s TPA reimbursed Medicare’s conditional payment claim directly.

11/18/2025 - 7 min read

Medicare Payment Advisory Commission Report Submitted to Congress

This article will discuss Medicare’s recently released “2025 Annual Report of the Boards of Trustees of the Federal Hospital Insurance.”

11/13/2025 - 8 min read

The Longest Federal Government Shutdown in History Ends

The longest federal shutdown in history ends. Learn what’s next for funding, Medicare, and compliance activities.

11/12/2025 - 2 min read

Safer Fleets: How Verisk TES Helps Carriers Hire Smarter and Manage Risk

Discover how Verisk’s TES helps carriers hire safely, monitor driver risk, and cut hiring delays—boosting compliance, safety, and insurance savings.

10/1/2025 - 6 min read

Federal Government Shuts Down – Information and Potential MSP Impact

Learn how the October 2025 federal government shutdown could affect Medicare, Social Security, and MSP compliance activities.

9/22/2025 - 3 min read

Automation is Essential with the New WCMSA S111 Reporting Requirements

Why automation is essential under the new WCMSA S111 reporting requirements — and how Verisk is leading the way.

Coworkers Reviewing Data On Computer Monitor

9/17/2025 - 2 min read

Verisk’s Medicare Conditional Payment Resource Center – Improving Compliance With Automated Data-Driven Solutions

Verisk’s Medicare conditional payments resource center contains key information regarding Medicare recovery claims and data-driven solutions.