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Casualty Solutions

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April 18, 2022

Reducing WCMSAs and Getting Claims Settled: Cost mitigation strategies for success

It is no secret that high WCMSAs amounts can complicate claim settlement, insurers often have more power than they realize

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April 14, 2022

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.

Blog Teaser6
March 24, 2022

Updated Workers’ Compensation Medicare Set-Aside (WCMSA) Reference Guide (Version 3.6) released – CMS makes further clarifications to its WCMSA EBMSA/non-submit policy and other updates

CMS makes what it terms as “clarifications” regarding the application of its EBMSAs and non-submit MSA policy as stated in Section 4.3 of the Reference Guide.

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March 16, 2022

How insurers can improve demand package review results for injury claims

It takes substantial resources to get a complete picture of the medical history and relevant data in a case to properly review demand packages.

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March 15, 2022

CMS to hold webinar to address MSPRP “go paperless” function

The Centers for Medicare and Medicaid Services (CMS) has announced that it will be holding a webinar on April 13, 2022 at 1:00 p.m. EST.

Blog Teaser4
March 11, 2022

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.

Blog Teaser3
March 3, 2022

CMS on the move: Section 111 civil money penalties Final Rule and Future Medicals proposals are pending review for release

The OIRA website indicates that CMS’s long-awaited S111 CMP “final rule” and their “Future Medicals” proposals are completed and are now pending OIRA review for release.

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February 28, 2022

Filling the Need for Professional Administration Services

Individuals injured at work are dealing with numerous challenges – from the hardship of physical affliction to feeling overwhelmed by managing medical bills.

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February 18, 2022

CMS holds WCMSA webinar CMS discusses non-submit/EBMSAs, allocation pricing, denials, and other important WCMSA topics

On February 17, 2022 the Centers for Medicare and Medicaid Services (CMS) held a webinar session to address workers’ compensation Medicare set-aside (WCMSA) issues.

Blog Teaser1
February 7, 2022

CMS to hold WCMSA webinar on February 17, 2022 – several key WCMSA topics are on CMS’s agenda

The Centers for Medicare and Medicaid Services (CMS) will discuss a variety of topics related to Workers’ Compensation Medicare Set-Asides (WCMSAs).

Blog Teaser4
January 31, 2022

Third-party litigation funding in 2022 -- three issues for your radar

Third-party litigation funding is an issue that certainly warrants monitoring in 2022. 

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January 20, 2022

U.S. Supreme Court hears oral arguments on Medicaid reimbursement case – Court’s forthcoming decision will revisit Medicaid’s recovery rights

On January 10, 2022, the United States Supreme Court heard oral argument in the case Gallardo by and through Vassallo v. Marstiller (No. 20-1263).

Blog Teaser2
January 13, 2022

New Workers’ Compensation Medicare Set-Aside (WCMSA) Reference Guide (Version 3.5) takes aim at non-submit and EBMSAs

Centers for Medicare and Medicaid Services (CMS) has released an updated Workers’ Compensation Medicare Set-Aside (WCMSA) Reference Guide (Version 3.5, January 10, 2022).

Blog Teaser1
January 12, 2022

CMS releases Section 111 NGHP User Guide (Version 6.7) – new updates provide a GoPaperless option for Medicare Secondary Payer Recovery Portal users

CMS has released an updated Section 111 NGHP User Guide (V 6.7, Jan 10, 2022) regarding non-group health plans. This updated guide replaces Version 6.6 (Dec. 13, 2021).

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December 22, 2021

CMS releases new Section 111 NGHP User Guide (Version 6.6)

CMS releases new Section 111 NGHP User Guide (Version 6.6) and an updated Section 111 NGHP 270/271 Companion Guide (Version 5.8)

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