Breaking CMS Medicare Updates
New York expands Medical and Indemnity Data call reporting – expansion applies to all member carrier groups regardless of premium market share
New York expands Medical and Indemnity Data call reporting – expansion applies to all member carrier groups regardless of premium market share
CMS pushes back the timeline to release its Section 111 penalties “final rule” for one-year (until February 18, 2024)
In a major Section 111 development, (CMS) has extended the timeline to release its Section 111 civil money penalties (CMP) “final rule” until February 18, 2024.
TPLF disclosure proposals are introduced in Kansas, Mississippi, and Montana state legislatures
Third-party litigation funding (TPLF) issues will continue to present challenges on several fronts in the new year.
CMS makes updates to Section 111 NGHP User Guide (Version 7.0) – updates relate to upcoming changes to the NGHP Unsolicited Response File
As reported in our recent article, in early January CMS released a new version of their Section 111 NGHP Section 111 User Guide (Version 7.0, January 9, 2023).
CMS releases updated Medicare Secondary Payer Recovery Portal (MSPRP) User Guide (Version 5.6) – Updates to Open Debt Report, Compromise Requests, and Go Paperless notifications
The Centers for Medicare and Medicaid Services (CMS) has released an updated Medicare Secondary Payer Recovery Portal (MSPRP) User Guide Version 5.6 (January 9, 2023).
CMS releases Section 111 NGHP User Guide (Version 7.0, January 9, 2023) – CMS announces several new updates to kick off 2023
The (CMS) has released an updated Section 111 NGHP User Guide (Version 7.0, January 9, 2023) regarding Section 111 reporting related to non-group health plans.
CMS releases request for proposal for the Workers’ Compensation Review Contractor (WCRC) contract
On January 4, 2023, the Centers for Medicare and Medicaid Services (CMS) issued an RFP for its Workers’ Compensation Review Contractor (WCRC) contract.
Is the other “M” on your radar? 5 things to know about Medicaid and how we can help!
It is no secret that Medicare secondary payer compliance issues often dominate the claims landscape and discussion.
CMS retains its $750 “Low Dollar” threshold for 2023
The Centers for Medicare and Medicaid Services (CMS) has released its 2023 low dollar reporting and recovery threshold.
The PAID Act one year after implementation – How is it going? What are we seeing?
On 12/11/21, the (PAID Act) went live following a year-long implementation roll-out by the Centers for Medicare and Medicaid Services (CMS).
CMS releases updated Workers’ Compensation Medicare Set-Aside Reference Guide (Version 3.8) – changes impact CMS’s WCMSA re-review process
The Centers for Medicare and Medicaid Services (CMS) has released an updated Workers’ Compensation Medicare Set-Aside (WCMSA) Reference Guide (Version 3.8)
CMS to hold NGHP Section 111 Webinar on December 6th at 1:00 p.m. ET
The Centers for Medicare and Medicaid Services (CMS) has announced that it will be holding a non-group health plan (NGHP) Section 111 webinar.
CMS releases data and statistics regarding CRC recoveries and WCMSAs
The Centers for Medicare and Medicaid Services (CMS) has released two new reports providing data regarding CRC recoveries and WCMSAs.
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.