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Breaking CMS Medicare Updates

June 25, 2021

CMS discusses PAID Act implementation plans and timelines on webinar

On June 23rd, CMS held a webinar to discuss its plans to implement the PAID Act for non-group health plan (NGHP) responsible reporting entities (RREs).

June 14, 2021

LMSA update: CMS’s “future medicals” proposals now scheduled for release in October 2021

CMS’s long-anticipated release of its “future medicals” notice of proposed rule making (NPRM) is now scheduled for October 2021.

June 11, 2021

CMS releases its PAID Act implementation plans – what’s next and how we can help

The following provides a general overview of the PAID Act, CMS’s implementation plans, and related considerations as follows.

June 11, 2021

New NGHP Section 111 User Guide (6.4) – PAID Act, ORM termination, and other updates

The Centers for Medicare and Medicaid Services (CMS) has released an updated Section 111 NGHP User Guide (Version 6.4, June 11, 2021) regarding non-group health plans.

May 25, 2021

CMS to hold PAID Act webinar on June 23rd

The Centers for Medicare and Medicaid Services (CMS) has announced that it will be holding a webinar on June 23, 2021 at 1:00 p.m. (ET) regarding the Provide Accurate…

May 17, 2021

CMS updates Chapter 7 of the Medicare secondary payer (MSP) recovery manual

The Centers for Medicare and Medicaid Services (CMS) has released an update to Chapter 7 of its Medicare secondary payer (MSP) recovery manual.

April 29, 2021

CMS releases new WCMSA Reference Guide (Version 3.3)

The Centers for Medicare and Medicaid Services (CMS) has just released their latest version of the WCMSA Reference Guide (Version 3.3, April 19, 2021).

April 14, 2021

CMS releases updated Section 111 Model Language document

The Centers for Medicare and Medicaid Services has released an updated Section 111 Model Language document dated March 10, 2021 (PDF version).

April 14, 2021

CMS’s Section 111 penalty proposals – current status and FAQs

There remains much anticipation regarding the current state of the Centers for Medicare and Medicaid Services’ (CMS’s) Section 111 civil money penalties proposals.

April 8, 2021

CMS releases new NGHP Section 111 User Guide (Version 6.3)

The Centers for Medicare and Medicaid Services (CMS) has released an updated Section 111 NGHP User Guide (Version 6.3, April 5, 2021).

April 5, 2021

CMS holds BCRC and CRC NGHP Town Hall session

The Centers for Medicare and Medicare Services held what it billed as a Benefits Coordination & Recovery and Commercial Repayment Center non-group health plan Town Hall.

March 12, 2021

The COMP Act is reintroduced in the U.S. Senate

On 3/10/21, Senators Ben Cardin (D-MD) and Rob Portman (R-OH) introduced the Coordination of Medicare Payments and Workers’ Compensation Act (COMP Act) (S. 653) into…

March 10, 2021

PAID Act – current status and FAQs

At this time, the industry is waiting for CMS to release its PAID Act implementation plan, which will require yet to be released technical updates to its Section 111…

March 5, 2021

Starting March 27, 2021, CMS will use the 2018 CDC Life Table for WCMSAs

Starting 3/27/21, CMS has announced that it will use the new 2018 CDC Life Table to calculate adjusted life expectancies in Workers’ Compensation Medicare Set-Asides…

March 1, 2021

CMS to host BCRC and CRC NGHP town hall on April 1st

CMS has announced it will be holding a Benefits Coordination & Recovery Center and Commercial Repayment Center Non-Group Health Plan town hall on April 1, 2021, at 1:00…