Medicare Secondary Payer (MSP)

7/14/2025 - 8 min read

TPOC/WCMSA Reporting is Underway – Unexpected Issues and Considerations

Based on our handling of MSP claims and observations, we note these considerations and issues where further CMS clarity may be helpful.

6/20/2025 - 9 min read

CMS discusses general WCMSA compliance points on its June 17th webinar

On June 17th, the Centers for Medicare and Medicaid Services held an “Introduction to Workers’ Compensation Medicare Set-Asides (WCMSAs) Webinar.”

6/2/2025 - 1 min read

CMS to Hold Intro to WCMSAs Webinar – June 17th at 2:00 p.m. ET

CMS has announced that it is holding an Introduction to workers’ compensation Medicare set-asides Webinar scheduled for June 17th at 2:00 p.m. (ET).

Coworkers Reviewing Data On Laptop Screens

5/28/2025 - 7 min read

Treasury Recovery Claims – 5 Things to Know and How Verisk Can Help

Treasury actions can take several forms, and take insurers by surprise, so it is important to keep in mind these five things and how Verisk can help.

5/20/2025 - 5 min read

New Rx Drug Executive Order and WC Medical Equipment Pricing Trends

Two recent updates in national policy include: President Trump’s Executive Order regarding Rx drug pricing and WC medical equipment pricing trends.

5/15/2025 - 12 min read

CMS’s New $0 WCMSA Policy Starts 7/17/25 – Key Points and How Verisk Can Help

Major changes are coming to $0 Workers’ Compensation Medicare set-asides (WCMSA) practices starting in July 2025.

5/7/2025 - 4 min read

CMS Releases Section 111 NGHP User Guide (Version 8.1)

CMS has released an updated Section 111 NGHP User Guide (Version 8.1, May 5, 2025) regarding Section 111 reporting related to non-group health plans.

4/23/2025 - 3 min read

CMS Releases Updated Medicare Secondary Payer Recovery Portal (MSPRP) User Guide (Version 6.5)

CMS has released an updated MSPRP User Guide Version 6.5 (April 7, 2025) featuring several updates.

4/3/2025 - 7 min read

CMS Discusses General MSP Recovery Issues on its “MSP Intro” Webinar

On March 27, 2025, CMS held an “Introduction to MSP for Beneficiary Representatives” webinar.

3/25/2025 - 1 min read

Verisk’s TPOC/WCMSA Resource Center – Helping You Stay Compliant!

With CMS's new requirements in effect, we're thrilled to introduce Verisk's TPOC/WCMSA Resource Center, offering a variety of essential resources.

Happy Person Working Wearing Headphones 1

3/19/2025 - 1 min read

CMS to Hold an MSP Intro Webinar on March 27th at 1:00 p.m. (ET)

CMS will host an Introduction to MSP for Beneficiary Representatives webinar on March 27, 2025, at 1 p.m.

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.

Colleagues Conversing Around Conference Table

12/19/2024 - 5 min read

CMS Retains its $750 “Low Dollar” Threshold for 2025

CMS has announced its low-dollar reporting and recovery thresholds for 2025, retaining the current $750 low-dollar threshold for certain cases.