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Workers’ Compensation

Girl On Computer Teaser Cms
December 11, 2023

CMS Announces Updates to the Medicare Secondary Payer Recovery Portal

(CMS) released an alert announcing that in January 2024 a new enhancement will be made to the MSPRP portal

Cms Teaser
December 7, 2023

Breaking down CMS’s plans to capture WCMSA data

CMS has announced plans to require Section 111 RREs to report various data points related to WCMSA arrangements

Girl On Computer Teaser
November 29, 2023

CMS corrects minor “technical errors” in the Section 111 penalties

In a new development, CMS has issued an update which corrects certain “technical errors” in the Section 111 final rule.

Cms Expands Tpoc Teaser
November 16, 2023

CMS discusses plans to capture WCMSA data points as part of TPOC reporting during recent Section 111 webinar

CMS held a webinar to discuss its plans to require Section 111 (RREs) to report data points related to WCMSAs

Women On Computer Teaser
November 7, 2023

CMS releases new Section 111 penalties FAQ resource

CMS has now released a new Alert entitled CMS’s Medicare Secondary Payer and Certain Civil Money Penalties: Frequently Asked Questions

Working Data
October 25, 2023

CMS to hold Section 111 Webinar on November 13th – CMS to discuss expansion of TPOC reporting to include WCMSA information

CMS’s webinar notice, this session will focus on the expansion of TPOC reporting to include workers’ compensation Medicare set-asides (WCMSA).

Cms New Update Teaser
October 11, 2023

CMS’s Section 111 penalties “final rule” released – breaking down CMS’s penalty provisions and how they impact Section 111 reporting

In an important development, CMS has released its Section 111 penalties “Final Rule” --- CMS penalties will go live in 60 days.

Audience Clapping
October 10, 2023

An award-winning effort breaks new ground in medical record review

Verisk leaders earn Technology Innovation honoree status in the 2023 PC360 Insurance Luminary program for their work on Discovery Navigator

Important Cms Alert Teaser
September 28, 2023

OIRA issues new notice regarding Section 111 civil money penalties - notice addresses the proposed rule’s economic impact designation

As many will recall, earlier this year the (CMS) extended the timeline to release its Section 111 civil money penalties (CMP) “Final Rule” until February 18, 2024.

Cms October Teaser
September 18, 2023

CMS announces increase to Maximum Settlement Amount for Fixed Percentage Demand Calculation Option starting October 2, 2023

CMS has announced that effective October 2, 2023, the maximum total settlement amount for the Fixed Percentage Demand Calculation Option.

Conference Florida Verisk
August 30, 2023

Verisk Casualty Solutions attends 77th Annual WCI Conference in Orlando, Florida!

Last week Verisk Casualty Solutions proudly attended the 77th Annual Workers' Compensation Educational Conference and 34th Safety & Health Conference in Orlando, FL!

Ebmsa Teaser
August 29, 2023

Revisiting indemnified EBMSAs – questions, issues, and risks in a post-Section 4.3 world

Section 4.3, CMS outlined its policy and the potential risks associated with settling a workers’ compensation claim with an EBMSA or Non-Submit MSA.

Cms Releases August Teaser
August 8, 2023

CMS releases NGHP User Guide (Version 7.3) – updates include changes to the ORM trigger and CMS’s Unsolicited Response File process

The (CMS) has released an updated Section 111 NGHP User Guide (Version 7.3, August 7, 2023) regarding Section 111 reporting related to non-group health plans

Connecticut Court Teaser
August 7, 2023

The United States District Court for Connecticut dismisses a Medicare Advantage claim for “double damages” – rules that insurer’s Section 111 reporting not sufficient to establish standing

Interesting new Medicare Advantage recovery case, the United States District Court for Connecticut in MSP Recovery Claims, Series LLC v. Travelers Indemnity Company

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