Casualty Solutions

Office Working Concentrating On Laptop Screen Article

3/19/2025 - 5 min read

A New Day for WCMSA Amended Review Requests Start April 7th

Effective April 7, 2025, CMS will permit Amended Review requests any time after a WCMSA case approval.

Colleagues Conversing Around Conference Table 3

3/13/2025 - 18 min read

Section 111 Reporting: CMS’s Road Map to Conditional Payment Recovery

Insurers must understand CMS's use of Section 111 data in the conditional payment recovery process to avoid consequences and liability.

2/21/2025 - 3 min read

Changes On the Horizon in 2025 for Workers’ Comp Reporting

Discover key 2025 changes in workers' comp reporting, including new data elements, expanded participation, and updates on FROI SROI and loss costs.

2/18/2025 - 5 min read

Effective AI Governance for Insurance Claims Solutions

Learn how insurers can responsibly use AI for claims processes, mitigating risks and ensuring compliance.

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).

1/10/2025 - 4 min read

CMS Releases Updated MSPRP User Guide (Version 6.4)

CMS released an updated MSPRP User Guide with changes to the security protocols for the Multi-Factor Authentication process.

1/8/2025 - 3 min read

CMS Releases Section 111 NGHP User Guide (Version 7.9)

CMS has released an updated Section 111 NGHP User Guide regarding reporting related to NGHPs (liability, no-fault and workers’ compensation).

8/10/2023 - 20 min read

United States District Court for Massachusetts rules that a MAP assignee has standing

New Medicare Advantage recovery case, the US District Court for MA in MSP Recovery Claims Series 44, LLC v. Bunker Hill Insurance Company, 2023 WL 4744739 two questions

8/9/2023 - 19 min read

Closing TPLF “data gaps” – recently discussed options and considerations

Whether parties using TPLF should be required to disclose the TPLF agreement to the opposing party as part of claims litigation continues to be a hotly debated topic.

7/24/2023 - 4 min read

Reminder update: Idaho transitions to Release 3.1

Reminder that the Idaho Industrial Commission (IIC) will transition from Electronic Data Interchange (EDI) Claims R3.0 (FROI and SROI) to EDI Claims R3.1

6/28/2023 - 10 min read

Mid-Year “Round-Up” 2023 – keeping track of Medicare and other claims updates (ICYMI)

We are at the mid-point for 2023! It has been a busy year in so many claims areas. Time to regroup on the key claims updates over the past months – ICYMI style!

6/23/2023 - 22 min read

Governor Edwards vetoes Louisiana’s proposed Third-Party Litigation Funding (TPLF) disclosure bill

S.B. 196, as outlined more fully below, called for the disclosure of (TPLF), referred to as “litigation financing agreements” in the bill, in civil actions.

6/9/2023 - 7 min read

Indiana enacts statutory provision regarding third-party litigation funding (TPLF) disclosure

On April 20, 2023, Indiana Governor Eric Holcomb (R) signed into law Indiana House Bill 1124 which adds a third-party litigation funding (TPLF)

6/9/2023 - 48 min read

Several industry groups renew calls for a mandatory TPLF disclosure rule as part of the Federal Civil Rules of Procedure