Medicare Secondary Payer (MSP)

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.

A prescription pad and pill bottle in front of a one hundred dollar bill.

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.

12/11/2023 - 1 min read

CMS Announces Updates to the Medicare Secondary Payer Recovery Portal

(CMS) released an alert announcing that in January 2024 a new enhancement will be made to the MSPRP portal

12/7/2023 - 11 min read

Breaking Down CMS’s Plans to Capture WCMSA Data

CMS has announced plans to require Section 111 RREs to report various data points related to WCMSA arrangements

12/5/2023 - 1 min read

CMS to Hold NGHP Section 111 Penalties Webinar

CMS will be holding a Section 111 civil money penalties (CMP) webinar for (NGHPs) on January 18, 2024 at 1:00 p.m. ET.

11/29/2023 - 8 min read

CMS Corrects Minor “Technical Errors” in the Section 111 Penalties

In a new development, CMS has issued an update which corrects certain “technical errors” in the Section 111 final rule.

11/16/2023 - 10 min read

CMS Discusses Plans to Capture WCMSA Data Points as Part of TPOC Reporting During Recent Section 111 Webinar

CMS held a webinar to discuss its plans to require Section 111 (RREs) to report data points related to WCMSAs

11/7/2023 - 15 min read

CMS Releases New Section 111 Penalties FAQ Resource

CMS has now released a new Alert entitled CMS’s Medicare Secondary Payer and Certain Civil Money Penalties: Frequently Asked Questions