Breaking CMS Medicare Updates
U.S. Circuit Court of Appeals for the Second Circuit rules that Medicare Advantage Plans can sue insurers for “double damages” – ruling affirms the district court’s award of double damages against insurer
U.S. Circuit Court of Appeals for the Second Circuit rules that Medicare Advantage Plans can sue insurers for “double damages”
CMS’s future medicals proposals have been withdrawn
In an important new development, an updated Office of Information and Regulatory Affairs (OIRA) notice reflects that CMS has withdrawn its “future medicals” proposals.
CMS releases Section 111 NGHP User Guide (Version 6.9) – updates relate to Section 111 excluded/valid diagnosis codes for 2023, SP31 error, and other items
CMS releases Section 111 NGHP User Guide (Version 6.9) – updates relate to Section 111 excluded/valid diagnosis codes for 2023, SP31 error, and other items
The U.S. Eleventh Circuit Court of Appeals applies a four-year statute of limitations to an MSP private cause of action claim – dismisses action as untimely
In an important new MSP decision, the U.S. Circuit Court of Appeals for the Eleventh Circuit in MSPA Claims 1, LLC v. Tower Hill Prime Insurance Co.
Are indemnified EBMSAs still an effective tool after CMS released Section 4.3?
When the CMS released version 3.5 of the WCMSA reference guide on January 11, 2022, it redefined the potential risk and settlement considerations.
Starting June 4, 2022, CMS Will Use the 2019 CDC Life Table for WCMSAs
Starting June 4, 2022, CMS Will Use the 2019 CDC Life Table for WCMSAs
CMS discusses the MSPRP’s “go paperless” function at recent webinar
CMS held a webinar to discuss the Medicare Secondary Payer Recovery Portal’s (MSPRP’s) “Go Paperless” function.
CMS to hold webinar to address MSPRP “go paperless” function
The Centers for Medicare and Medicaid Services (CMS) has announced that it will be holding a webinar on April 13, 2022 at 1:00 p.m. EST.
CMS on the move: Section 111 civil money penalties Final Rule and Future Medicals proposals are pending review for release
The OIRA website indicates that CMS’s long-awaited S111 CMP “final rule” and their “Future Medicals” proposals are completed and are now pending OIRA review for release.
CMS holds WCMSA webinar CMS discusses non-submit/EBMSAs, allocation pricing, denials, and other important WCMSA topics
On February 17, 2022 the Centers for Medicare and Medicaid Services (CMS) held a webinar session to address workers’ compensation Medicare set-aside (WCMSA) issues.
CMS to hold WCMSA webinar on February 17, 2022 – several key WCMSA topics are on CMS’s agenda
The Centers for Medicare and Medicaid Services (CMS) will discuss a variety of topics related to Workers’ Compensation Medicare Set-Asides (WCMSAs).
New Workers’ Compensation Medicare Set-Aside (WCMSA) Reference Guide (Version 3.5) takes aim at non-submit and EBMSAs
Centers for Medicare and Medicaid Services (CMS) has released an updated Workers’ Compensation Medicare Set-Aside (WCMSA) Reference Guide (Version 3.5, January 10, 2022).
CMS releases Section 111 NGHP User Guide (Version 6.7) – new updates provide a GoPaperless option for Medicare Secondary Payer Recovery Portal users
CMS has released an updated Section 111 NGHP User Guide (V 6.7, Jan 10, 2022) regarding non-group health plans. This updated guide replaces Version 6.6 (Dec. 13, 2021).
CMS releases new Section 111 NGHP User Guide (Version 6.6)
CMS releases new Section 111 NGHP User Guide (Version 6.6) and an updated Section 111 NGHP 270/271 Companion Guide (Version 5.8)
CMS retains its $750 “Low Dollar” threshold for 2022
The Centers for Medicare and Medicaid Services (CMS) has released its 2022 low dollar reporting and recovery threshold via a new alert.