Breaking CMS Medicare Updates
CMS to mask health insurance claim number and social security number on contractor correspondence starting April 2019
Starting 4/1/19, CMS’s Coordination of Benefits and Recovery Program program will mask the social security number (SSN) and SSN-portion of the health insurance claim…
CMS releases new WCMSA Reference Guide (Version 2.9)
On 1/4/19, CMS released their latest version of the WCMSA reference guide Version 2.9.
CMS releases new NGHP Section 111 user guide
CMS has updated its Non-Group Health Plan Section 111 User Guide. The new guide is styled as Version 5.5 and is dated January 7, 2019.
Government shutdown – MSP update
As the partial government shutdown continues, questions are being raised as to the shutdown’s impact on CMS activities concerning Medicare Secondary Payer compliance.
Proposed rules for addressing future medical obligations to be released
The Office of Information and Regulatory Affairs (OIRA) recently issued a notice entitled Miscellaneous Medicare Secondary Payer Clarifications and Updates (CMS-6047-P).…
MSPRP update: CMS announces a new self-reporting option and updates to the multi-factor authentication process
The Centers for Medicare and Medicaid Services (CMS) hosted a webinar focusing on enhancements to its Medicare Secondary Payer Recovery Portal (MSPRP) on December 18,…
CMS will use the 2015 CDC Life Table for WCMSAs starting 1/5/19
In an alert dated December 5, 2018, the Centers for Medicare and Medicaid Services (CMS) announced that beginning January 5, 2019, they will use the new 2015 CDC Life…
CMS retains $750 “Low Dollar” threshold for 2019
The Centers for Medicare and Medicaid Services (CMS) has released its low dollar recovery threshold for 2019 via an alert dated November 15, 2018. CMS is generally…
CMS updates its Medicare prescription drug benefit manual – New changes encourage Part D collection and recovery
The Centers for Medicare and Medicaid Services (CMS) has amended its Medicare Prescription Drug Benefit Manual (Part D Manual) to add, in part, stronger language…
CMS releases new WCMSA Reference Guide and NGHP Section 111 User Guide
The Centers for Medicare and Medicaid Services (CMS) has updated both its Workers' Compensation Medicare Set-Aside (WCMSA) Reference Guide and its Non-Group Health Plan…
CMS hosts Medicare Secondary Payer Recovery Portal (MSPRP) Webinar
On August 16, 2018, the Centers for Medicare and Medicaid Services (CMS) hosted a webinar focusing on its Medicare Secondary Payer Recovery Portal (MSPRP).
Minor changes in newly released Medicare Secondary Payer Recovery Portal User Guide
The Centers for Medicare and Medicaid Services (CMS) has released an updated version of its Medicare Secondary Payer Recovery Portal (MSPRP) User Guide (Version 4.2). The…
CMS issues new regulations aimed at identifying and limiting potential opioid abuse
On April 2, 2018, C,S issued a final rule which updated regulations for Medicare Advantage Plans (MAP) and Medicare Part D programs.
CMS’ Medicare Beneficiary Identifier initiative and its Medicare Secondary Payer impact
Starting in April, CMS will begin replacing all Medicare cards with a new unique 11-byte Medicare Beneficiary Identifier (MBI) number.
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).