Medicare Secondary Payer (MSP)

Office Working Concentrating On Laptop Screen

12/11/2024 - 8 min read

New Section 111 NGHP User Guide (Version 7.8) – CMS Adds New Section Regarding WCMSAs

CMS released an updated Section 111 NGHP User Guide (Version 7.8) regarding S.111 reporting related to non-group health plans.

10/22/2024 - 7 min read

WCMSA Submission Remains Voluntary, Leveraging EBMSAs to Settle Claims

With CMS’s plans to collect WCMSA reporting data through Section 111 TPOC reporting, it may be a good time reconsider the EBMSA landscape.

10/1/2024 - 1 min read

CMS to Host Section 111 NGHP CMPs Webinar on October 17th

CMS to host a Section 111 NGHP Section 111 CMP that will include reminders about Final Rule, the auditing process and important dates.

9/25/2024 - 13 min read

Voluntary Testing for TPOC/WCMSA Reporting Starts October 7, 2024

Reminder for Section 111 NGHP RREs: CMS’s voluntary testing for the new TPOC/WCMSA reporting starts October 7, 2024.

9/25/2024 - 8 min read

CMS’s CMPs Final Rule is “Applicable” October 11, 2024

CMS's CMPs final rule becomes “applicable” on October 11^th regarding Section 111 penalties.

8/21/2024 - 2 min read

New WCMSA Self-Admin Tool Kit – CMS Updates on MAP and Part D Plans

CMS releases updated WCMSA Self-Administration Tool Kit (v1.6), with key updates on Medicare Part C, MAP, and Part D plans.

7/30/2024 - 5 min read

Spotlight on WCMSAs – Nutshell Resource

How to prepare for CMS’ new TPOC reporting requirements – Nutshell resource summary.

7/30/2024 - 15 min read

Spotlight on WCMSAs - Preparing for CMS' New TPOC Reporting Requirements

Starting April 4, 2025, CMS requires Section 111 RREs to report specific WCMSA data for all Medicare beneficiary settlements in TPOC reporting.

7/18/2024 - 2 min read

Mid-Year “Round-Up” 2024 – Tracking Medicare and Claims Updates

Stay updated on 2024’s key claim trends: Medicare changes, Section 111 penalties, TPOC/WCMSA reporting, MSAs, FROI/SROI, TPLF, and more.

7/2/2024 - 0 min read

U.S. Supreme Court Overturns Chevron – Impacts Agency Rule Challenges.

The U.S. Supreme Court's decision to overturn Chevron deference in Loper Bright Enterprises v. Raimondo (2024), will impact agency rules.

4/16/2024 - 2 min read

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

CMS has released an updated MSPRP User Guide Version which includes several updates, including the ability to find appeals status updates and updated operating hours for Experian.

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4/10/2024 - 6 min read

NCCI Cuts Eligibility for Medical and Indemnity Data Call Reporting

NCCI reduced the participation eligibility threshold for reporting both the Medical Data Call (“MDC”) and Indemnity Data Call (“IDC”).

4/3/2024 - 12 min read

CMS Releases S.111 NGHP User Guide Version 7.5

CMS has released an updated Section 111 NGHP User Guide (Version 7.5, April 1, 2024) regarding S.111 reporting related to NGHPs.

2/26/2024 - 7 min read

CMS Releases New Information About TPOC/WCMSA Data Collection Process

A February Alert provided more information on CMS’s plans to require RREs to report WCMSA data as part of its TPOC reporting trigger.

1/31/2024 - 5 min read

CMS Releases Updated MSPRP User Guide (Version 6.0)

CMS released an updated MSPRP user guide (Version 6.0), which includes several updates to MSPRP's functionality.