Workers Compensation Topic

6/20/2025 - 9 min read

CMS discusses general WCMSA compliance points on its June 17th webinar

On June 17th, the Centers for Medicare and Medicaid Services held an “Introduction to Workers’ Compensation Medicare Set-Asides (WCMSAs) Webinar.”

6/9/2025 - 1 min read

Starting June 14, 2025 CMS Will Use the 2022 CDC Life Table for WCMSAs

CMS has announced that it will use the “Table 1: Life Table for the total population: United States, 2022” to calculate an adjusted life expectancy.

6/2/2025 - 1 min read

CMS to Hold Intro to WCMSAs Webinar – June 17th at 2:00 p.m. ET

CMS has announced that it is holding an Introduction to workers’ compensation Medicare set-asides Webinar scheduled for June 17th at 2:00 p.m. (ET).

5/20/2025 - 5 min read

New Rx Drug Executive Order and WC Medical Equipment Pricing Trends

Two recent updates in national policy include: President Trump’s Executive Order regarding Rx drug pricing and WC medical equipment pricing trends.

4/25/2025 - 2 min read

Colorado Delays Release 3.1 for FROI/SROI Reporting Until 7/30/2026

The DOWC announced it is delaying its implementation of Release 3.1 for FROI/SROI reporting. The transition has been delayed until 7/30/2026.

2/21/2025 - 3 min read

Changes On the Horizon in 2025 for Workers’ Comp Reporting

Discover key 2025 changes in workers' comp reporting, including new data elements, expanded participation, and updates on FROI SROI and loss costs.

1/23/2025 - 5 min read

CMS Will End One-Year Waiting Period to File WCMSA Amended Review Requests

CMS has a released an Alert advising that effective 4/7/2025, Amended Review requests “will be allowed at any time a WCMSA case is approved.”

1/22/2025 - 11 min read

CMS Releases WCMSA Reference Guide 4.2-CMS to End Review of $0 WCMSAs

CMS releases an updated WCMSA Reference Guide (Version 4.2, January 17, 2025).

1/7/2025 - 2 min read

PAAS® Reimagined is the Next Evolution in Premium Audit Technology.

Enhancement to PAAS® leverages artificial intelligence and advanced search capabilities to streamline premium auditing and underwriting.

Colleagues Conversing Around Conference Table

12/19/2024 - 5 min read

CMS Retains its $750 “Low Dollar” Threshold for 2025

CMS has announced its low-dollar reporting and recovery thresholds for 2025, retaining the current $750 low-dollar threshold for certain cases.

Office Working Concentrating On Laptop Screen

12/11/2024 - 8 min read

New Section 111 NGHP User Guide (Version 7.8) – CMS Adds New Section Regarding WCMSAs

CMS released an updated Section 111 NGHP User Guide (Version 7.8) regarding S.111 reporting related to non-group health plans.

10/16/2024 - 4 min read

Decimal Extension for Loss Costs and Rates are on the Horizon

The EDI & WCIO have discussed a change on how loss costs and rates are filed.

10/16/2024 - 4 min read

Verisk’s Data-Driven MSA: A Solution for Low-Dollar TPOC/WCMSA Reporting

Manage low-dollar workers’ compensation settlements ($25,000 or less) for Medicare beneficiaries under CMS’s updated process.

10/11/2024 - 17 min read

CMS Releases Section 111 NGHP User Guide (Version 7.7)

CMS released an updated Section 111 NGHP User Guide for reporting on non-group health plans: liability, no-fault, and workers' comp.

9/25/2024 - 13 min read

Voluntary Testing for TPOC/WCMSA Reporting Starts October 7, 2024

Reminder for Section 111 NGHP RREs: CMS’s voluntary testing for the new TPOC/WCMSA reporting starts October 7, 2024.