Breaking CMS Medicare Updates

5/25/2021 - 1 min read

CMS to hold PAID Act webinar on June 23rd

CMS has announced it will be holding a webinar on June 23, 2021 at 1:00 p.m. (ET) regarding the PAID Act for NGHP responsible reporting entities (RREs).

5/17/2021 - 2 min read

CMS updates Chapter 7 of the Medicare secondary payer (MSP) recovery manual

The Centers for Medicare and Medicaid Services (CMS) has released an update to Chapter 7 of its Medicare secondary payer (MSP) recovery manual.

4/29/2021 - 2 min read

CMS releases new WCMSA Reference Guide (Version 3.3)

The Centers for Medicare and Medicaid Services (CMS) has just released their latest version of the WCMSA Reference Guide (Version 3.3, April 19, 2021).

4/14/2021 - 3 min read

CMS releases updated Section 111 Model Language document

The Centers for Medicare and Medicaid Services has released an updated Section 111 Model Language document dated March 10, 2021 (PDF version).

4/14/2021 - 10 min read

CMS’s Section 111 penalty proposals – current status and FAQs

There remains much anticipation regarding the current state of the Centers for Medicare and Medicaid Services’ (CMS’s) Section 111 civil money penalties proposals.

4/8/2021 - 11 min read

CMS releases new NGHP Section 111 User Guide (Version 6.3)

The Centers for Medicare and Medicaid Services (CMS) has released an updated Section 111 NGHP User Guide (Version 6.3, April 5, 2021).

4/5/2021 - 7 min read

CMS holds BCRC and CRC NGHP Town Hall session

The Centers for Medicare and Medicare Services held what it billed as a Benefits Coordination & Recovery and Commercial Repayment Center non-group health plan Town Hall.

3/12/2021 - 4 min read

The COMP Act is reintroduced in the U.S. Senate

On 3/10/21, Senators Ben Cardin (D-MD) and Rob Portman (R-OH) introduced the Coordination of Medicare Payments and Workers’ Compensation Act (COMP Act) (S. 653) into the United States Senate.

3/5/2021 - 1 min read

Starting March 27, 2021, CMS will use the 2018 CDC Life Table for WCMSAs

Starting 3/27/21, CMS has announced that it will use the new 2018 CDC Life Table to calculate adjusted life expectancies in Workers’ Compensation Medicare Set-Asides (WCMSAs).

3/1/2021 - 2 min read

CMS to host BCRC and CRC NGHP town hall on April 1st

CMS has announced it will be holding a Benefits Coordination & Recovery Center and Commercial Repayment Center Non-Group Health Plan town hall on April 1, 2021.

1/22/2021 - 6 min read

CMS releases new NGHP Section 111 User Guide (Version 6.2, January 11, 2021)

CMS has released an updated Section 111 NGHP User Guide (Version 6.2, January 11, 2021) regarding non-group health plans (liability, no-fault, and workers’ compensation).

12/16/2020 - 3 min read

LMSA update: CMS’s “future medicals” proposals now scheduled for release in March 2021 | New LMSA case decision highlights continuing claims challenges

LMSA update: OIRA has issued an updated noticing indicating CMS’s “future medical” proposals are delayed again and projected for release in March 2021.

12/14/2020 - 14 min read

The PAID Act is now law

It requires CMS to expand its Section 111 Query Process to identify whether a claimant is currently entitled to.

12/11/2020 - 4 min read

CMS holds NGHP beneficiary recovery process webinar

On 12/9, CMS held a non-group health plan beneficiary recovery process webinar aimed at attorneys who represent beneficiaries and other beneficiary representatives.

Breaking CMS Medicare Updates

New NGHP Section 111 User Guide (6.4) – PAID Act, ORM termination, and other updates

CMS to hold PAID Act webinar on June 23rd

CMS updates Chapter 7 of the Medicare secondary payer (MSP) recovery manual

CMS releases new WCMSA Reference Guide (Version 3.3)

CMS releases updated Section 111 Model Language document

CMS’s Section 111 penalty proposals – current status and FAQs

CMS releases new NGHP Section 111 User Guide (Version 6.3)

CMS holds BCRC and CRC NGHP Town Hall session

The COMP Act is reintroduced in the U.S. Senate

Starting March 27, 2021, CMS will use the 2018 CDC Life Table for WCMSAs

CMS to host BCRC and CRC NGHP town hall on April 1st

CMS releases new NGHP Section 111 User Guide (Version 6.2, January 11, 2021)

LMSA update: CMS’s “future medicals” proposals now scheduled for release in March 2021 | New LMSA case decision highlights continuing claims challenges

The PAID Act is now law

CMS holds NGHP beneficiary recovery process webinar