Casualty Solutions

3/3/2022 - 11 min read

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.

2/28/2022 - 0 min read

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.

2/18/2022 - 12 min read

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.

2/7/2022 - 2 min read

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).

1/31/2022 - 41 min read

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

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

1/20/2022 - 8 min read

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).

1/13/2022 - 5 min read

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).

1/12/2022 - 4 min read

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).

12/22/2021 - 17 min read

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)

12/14/2021 - 2 min read

Enhancing Customer Experience and Innovating for the Future as Verisk

Insurance industry advances towards digital transformation of enterprise-wide processes and systems, the need for trusted partners in this journey has never been greater

12/13/2021 - 2 min read

LMSA update: CMS’s “future medicals” proposals now scheduled for release in February 2022

A Fall 2021 notice indicating that CMS’s long-anticipated release of its “future medicals” notice of proposed rulemaking (NPRM) is now scheduled for February 2022.