Casualty Solutions
CMS’s Query Process and non-binary/unspecified gender designations – current issues and considerations
Section 111 non-group health plan (RREs) involves the inability to submit non-binary or unspecified gender designations as part of the (CMS’s)
The Eleventh Circuit dismisses a Medicare Advantage “double damages” lawsuit – court rules the MSP statute does not preempt insurer's claims-filing deadline or Florida’s no-fault pre-suit demand
In a recent Medicare Advantage recovery action, the United States Eleventh Circuit Court of Appeals in MSP Recovery Claims.
Starting April 29, 2023, CMS Will Use the 2020 CDC Life Table for WCMSAs
The (CMS) has announced that beginning April 29, 2023, it will use the new 2020 CDC Life Table to calculate adjusted life expectancies in (WCMSAs).
CMS releases Section 111 NGHP User Guide (Version 7.1, April 24, 2023)
The Centers for Medicare and Medicaid Services (CMS) has released an updated Section 111 NGHP User Guide (Version 7.1, April 24, 2023)
Second Circuit dismisses Medicare Advantage “double damages” lawsuit on standing grounds – rules the insurer's Section 111 reporting did not establish liability
In an interesting new Medicare Advantage recovery decision, the United States Second Circuit Court of Appeals in MSP Recovery Claims.
Changing of the Guard: Detail Claim Information (DCI) is sunsetting and the Indemnity Data Call (IDC) will take over – what you should know
The DCI is now scheduled to sunset at the end of December 2023 and is being replaced by the Indemnity Data Call (IDC).
Florida (and other states) take aim at regulating Third-Party Litigation Funding
With the state legislative season in full-swing, Florida, along with several other states, has introduced legislation focused on regulating (TPLF).
Waiting for CMS’s Section 111 penalties “final rule” – status, updates, and what’s next
Presently, the industry is waiting for CMS to release its Section 111 CMPs “final rule” to the public.
Medicare’s Commercial Repayment Center (CRC) updates mailing address for Non-Group Health Plan (NGHP) Medicare Secondary Payer (MSP) correspondence
Medicare’s Commercial Repayment Center (CRC) updates mailing address for Non-Group Health Plan (NGHP) Medicare Secondary Payer (MSP) correspondence
New York expands Medical and Indemnity Data call reporting – expansion applies to all member carrier groups regardless of premium market share
New York expands Medical and Indemnity Data call reporting – expansion applies to all member carrier groups regardless of premium market share
CMS pushes back the timeline to release its Section 111 penalties “final rule” for one-year (until February 18, 2024)
In a major Section 111 development, (CMS) has extended the timeline to release its Section 111 civil money penalties (CMP) “final rule” until February 18, 2024.
TPLF disclosure proposals are introduced in Kansas, Mississippi, and Montana state legislatures
Third-party litigation funding (TPLF) issues will continue to present challenges on several fronts in the new year.
CMS makes updates to Section 111 NGHP User Guide (Version 7.0) – updates relate to upcoming changes to the NGHP Unsolicited Response File
As reported in our recent article, in early January CMS released a new version of their Section 111 NGHP Section 111 User Guide (Version 7.0, January 9, 2023).
CMS releases updated Medicare Secondary Payer Recovery Portal (MSPRP) User Guide (Version 5.6) – Updates to Open Debt Report, Compromise Requests, and Go Paperless notifications
The Centers for Medicare and Medicaid Services (CMS) has released an updated Medicare Secondary Payer Recovery Portal (MSPRP) User Guide Version 5.6 (January 9, 2023).
CMS releases Section 111 NGHP User Guide (Version 7.0, January 9, 2023) – CMS announces several new updates to kick off 2023
The (CMS) has released an updated Section 111 NGHP User Guide (Version 7.0, January 9, 2023) regarding Section 111 reporting related to non-group health plans.