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Cms Teaser
December 7, 2023

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

Books And Records Teaser
December 6, 2023

FROI/SROI and WCIO 2023 recap–breaking down key updates and getting ready for 2024

These new compliance updates and changes kept insurers busy and will have a significant impact for insurers going forward in the new year.

Typing On Computer
December 5, 2023

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.

Girl On Computer Teaser
November 29, 2023

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.

Cms Expands Tpoc Teaser
November 16, 2023

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

Women On Computer Teaser
November 7, 2023

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

Hand Holding Teaser
November 7, 2023

Love Thy Frenemies: 3 Reasons an Interconnected Claims Network Benefits the Industry

Love Thy Frenemies: 3 Reasons an Interconnected Claims Network Benefits the Industry

Medical Professionals Teaser
October 31, 2023

Who Commits Insurance Fraud, part 3: "Which generation is most likely to commit fraud?

Verisk conducted a study with the Coalition Against Insurance Fraud on which generation is most likely to commit fraud.

People In Office Teaser
October 31, 2023

Introducing Recovery Reversal: Your Key to Regaining Control Over Medicare Conditional Payments

Verisk developed a new solution - Recovery Reversal - to claw back the Medicare overpayment or offset.

Cms Data Entry Teaser
October 30, 2023

Vermont Department of Labor delays mandatory start date of Release

Vermont EDI Claim Release 3.1 for (FROI) and (SROI) is now delaying its planned implementation of Release 3.1 for FROI/SROI reporting.

Working Data
October 25, 2023

CMS to hold Section 111 Webinar on November 13th – CMS to discuss expansion of TPOC reporting to include WCMSA information

CMS’s webinar notice, this session will focus on the expansion of TPOC reporting to include workers’ compensation Medicare set-asides (WCMSA).

Cms New Update Teaser
October 11, 2023

CMS’s Section 111 penalties “final rule” released – breaking down CMS’s penalty provisions and how they impact Section 111 reporting

In an important development, CMS has released its Section 111 penalties “Final Rule” --- CMS penalties will go live in 60 days.

Audience Clapping
October 10, 2023

An award-winning effort breaks new ground in medical record review

Verisk leaders earn Technology Innovation honoree status in the 2023 PC360 Insurance Luminary program for their work on Discovery Navigator

Important Cms Alert Teaser
September 28, 2023

OIRA issues new notice regarding Section 111 civil money penalties - notice addresses the proposed rule’s economic impact designation

As many will recall, earlier this year the (CMS) extended the timeline to release its Section 111 civil money penalties (CMP) “Final Rule” until February 18, 2024.

Important Cms Alert Teaser
September 28, 2023

The “Protecting Our Courts from Foreign Manipulation Act of 2023” is introduced in Congress – proposal targets TPLF by foreign persons, foreign states, and foreign sovereign wealth funds

In an important development on the TPLF front, the Protecting Our Courts from Foreign Manipulation Act of 2023 has been introduced in the U.S Senate.

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