Casualty Solutions
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
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.
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.
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.
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.
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.
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.
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.
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.
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).
Third-party litigation funding in 2022 -- three issues for your radar
Third-party litigation funding is an issue that certainly warrants monitoring in 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).
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).
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).
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)