Breaking CMS Medicare Updates

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.

7/9/2024 - 3 min read

Section 111 NGHP User Guide (V7.6): Updates "Cumulative Injury" Definition & TIN Errors

CMS releases new Section 111 NGHP User Guide (V7.6) for NGHPs (liability, no-fault, and workers’ compensation) reporting.

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.

4/26/2024 - 14 min read

CMS Holds a TPOC/WCMSA “Question & Answer” Session to Further Discuss its New Section 111 Reporting Process

On April 25th, CMS held a “Q and A” session to discuss its plans to require S.111 RREs to report various WCMSA data points as part of its TPOC reporting trigger.

4/17/2024 - 13 min read

CMS' Second TPOC/WCMSA Webinar Unveils Key Updates to Section 111 Reporting

CMS' second webinar unveils plans for Section 111 RREs to include WCMSA data points in TPOC reporting trigger.

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.

4/15/2024 - 1 min read

CMS Releases WCMSA Reference Guide Version 4.0

CMS has released an updated Workers’ Compensation Medicare Set-Aside (WCMSA) Reference Guide (Version 4.0, April 1, 2024).

4/10/2024 - 11 min read

Governor Justice Signs S.B. 850 into Law Amending West Virginia’s TPLF Statutes

On March 27, the West Virginia Governor signed the Updating Consumer Credit and Protection Act into law. This law makes amendments to West Virginia’s existing TPLF statutes.

4/9/2024 - 1 min read

CMS to Hold Second TPOC/WCMSA Webinar on April 16, 2024 at 2:00 p.m. ET

CMS will be holding its second TPOC/WCMSA webinar on April 16th to discuss its plans to use Section 111 TPOC reporting to collect WCMSA data as part NGHP Section 111 reporting.

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.

3/20/2024 - 12 min read

Indiana Passes New TPLF Law Regulating Commercial Litigation Financing

On March 13, the governor of Indiana signed House Bill 1160 into law which contains new provisions regulating commercial litigation funding.

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.

1/30/2024 - 21 min read

CMS Releases Section 111 NGHP User Guide (Version 7.4)

CMS released an updated Section 111 NGHP User Guide (Version 7.4) regarding reporting related to non-group health plans (NGHPs).

1/23/2024 - 20 min read

CMS Discusses NGHP Section 111 Civil Money Penalties on its First CMPs Webinar

CMS’s Section 111 ‘penalties’ webinar discussed different CMPs changes, including, how CMPs will be calculated, the audit process, notice/appeal, and safe harbors.

Breaking CMS Medicare Updates

Spotlight on WCMSAs – Nutshell Resource

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

Section 111 NGHP User Guide (V7.6): Updates "Cumulative Injury" Definition & TIN Errors

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

CMS Holds a TPOC/WCMSA “Question & Answer” Session to Further Discuss its New Section 111 Reporting Process

CMS' Second TPOC/WCMSA Webinar Unveils Key Updates to Section 111 Reporting

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

CMS Releases WCMSA Reference Guide Version 4.0

Governor Justice Signs S.B. 850 into Law Amending West Virginia’s TPLF Statutes

CMS to Hold Second TPOC/WCMSA Webinar on April 16, 2024 at 2:00 p.m. ET

CMS Releases S.111 NGHP User Guide Version 7.5

Indiana Passes New TPLF Law Regulating Commercial Litigation Financing

CMS Releases New Information About TPOC/WCMSA Data Collection Process

CMS Releases Section 111 NGHP User Guide (Version 7.4)

CMS Discusses NGHP Section 111 Civil Money Penalties on its First CMPs Webinar