Once More, With Feeling: CMS’ Blunt Reminder for Providers
Panic. Frustration. Fear. A Medicare beneficiary feels these emotions, and more, whenever their provider gives them the bad news. “Medicare is denying coverage for this
CMS Updates NGHP User Guide & WCMSA Reference Guide
On April 7, 2025, the Centers for Medicare & Medicaid Services (CMS) issued: Version 8.0 of the NGHP User Guide Version 4.3 of the Workers’ Compensation Medicare
Mandatory MSA Reporting Begins Today
Today marks a pivotal point in workers’ compensation Medicare compliance. While for nearly fifteen years Medicare has required workers compensation claims payers to
CMS No Longer Requiring 1 Year Waiting Period for Amended Reviews
On January 21, 2025, the Centers for Medicare & Medicaid Services (CMS) sent out an announcement that effective April 7, 2025, amended review requests will be
CMS Updates the WCMSA Reference Guide With Plan to End Review of $0 MSAs
On January 17, 2025, the Centers for Medicare & Medicaid Services (CMS) issued version 4.2 of the Workers’ Compensation Medicare Set-Aside (WCMSA) Reference Guide with
CMS Updates WCMSA Reporting Requirements: What You Need to Know
The Centers for Medicare & Medicaid Services (CMS) has released significant updates to its Non-Group Health Plan (NGHP) User Guide, particularly in Chapters 3 and 4,
CMS Releases FY 2024 MSA Stats
The Centers for Medicare and Medicaid Services (CMS) released the WCMSA Fiscal Year Statistics 2020-2024, which examines trends in Workers' Compensation Medicare
CMS to Host October Webinar on NGHP Civil Money Penalties
CMS recently announced an upcoming informational webinar for Non-Group Health Plans (NGHPs) regarding Medicare Secondary Payer (MSP) and Civil Money Penalties (CMPs).