Breaking CMS Medicare Updates
CMS releases WCMSA reference guide (Version 2.7)
The Centers for Medicare and Medicaid Services (CMS) has released its latest WCMSA Reference Guide (Version 2.7).
WCMSA update: CMS holds WCRC transition webinar
On March 7, 2018, CMS held a transition webinar regarding its upcoming Workers’ Compensation Review Contractor (WCRC) transition.
WCMSA update: New WCRC takes over March 19th – webinar set for March 7th
CMS has announced that its new Workers Compensation Review Contractor, Capitol Bridge, LLC will assume WCRC responsibilities on March 19, 2018. CMS is holding a…
CRC transition update: Temporary halt on recovery activities
On February 2, 2018, CMS issued its latest update regarding the Commercial Repayment Center transition from CGI Federal to Performant Financial Corporation.
Government shutdown ends – Congress and President reach deal
This brief government shutdown did not affect Medicare Secondary Payer operations as they are essential and considered part of the Medicare Integrity Program. Thus,…
Government shutdown & Medicare Secondary Payer impact
Medicare Secondary Payer operations will not be affected as they are essential and considered part of the Medicare Integrity Program. However, were are receiving word…
CMS holds town hall call on CRC transition - CMS provides important updates on ORM recovery transition
On January 18, 2018, CMS held its Commercial Repayment Center Non-Group Health Plan (NGHP) Town Hall presentation to address the upcoming transition of CRC operations…
CMS schedules NGHP CRC transition webinar for January 18, 2018
The Centers for Medicare and Medicaid Services (CMS) will be holding a webinar on Thursday, January 18, 2018 at 1:00 PM ET to provide information and details related to…
CMS extends CRC transition to February 8, 2018
The Centers for Medicare and Medicaid Services (CMS) is extending the Commercial Repayment Center (CRC) contract transition from CGI Federal to Performant Financial…
CMS Releases New Section 111 NGHP User Guide (Version 5.3)
The Centers for Medicare and Medicaid Services (CMS) has released an updated Section 111 non-group health plan (NGHP) User Guide (Version 5.3, December 15, 2017). This…
CMS and opioid medications - Will CMS address opioids in 2018?
Currently, CMS takes a strict formulaic approach that will price all Medicare covered medication related to a claim at the present dosage and frequency for the “duration…
CMS maintains its $750 low dollar threshold for 2018
CMS has announced that it is maintaining the current $750.00 low dollar threshold in 2018 for certain settlement, judgments, awards or other payments.
Liability MSA update
On October 26, 2017, the Centers for Medicare and Medicaid Services (CMS) has released its latest update regarding the LMSA issue.
Performant awarded CMS Commercial Repayment Center contract
The Centers for Medicare and Medicaid Services (CMS) awarded Performant Financial Corporation (Performant) the Commercial Repayment Center (CRC) contract.
Making sense of the WCMSA reference guide 2.6
On 7/31, CMS released their new WCMSA Reference Guide. Learn what the changes outlined might mean for submitting WCMSAs to CMS.