CMS Announces Policy Guidance Change Relative to Subscription Insurance
In a recent NGHP Section 111 User Guide publication, the Centers for Medicare and Medicaid Services (CMS) added a new section (Chapter III, Section 6.1.13) to directly
Narcan – Dosing and Considerations with OTC Availability
The latest buzz is the Food and Drug Administration approved over-the-counter (OTC) sale of Narcan (naloxone) nasal spray to reverse opioid overdose. Without a
What Do Medicare and Charlie Brown Have in Common?
Lucy and Charlie Brown. The Cleveland Indians. Peter O’Toole. The Minnesota Vikings[1]. CMS and Medicare Secondary Payer regulations. If you got “Famous Almosts” you
CMS Publishes Version 7 of the NGHP User Guide
On January 9, 2023, the Centers for Medicare and Medicaid Services (CMS) published version 7.0 of the Non-Group Health Plan (NGHP) User Guide, found here. Version 7
Annual Reporting & Recovery Threshold Alert: CMS Retains $750 TPOC and Recovery Threshold
O n Tuesday, December 13th the Centers for Medicare & Medicaid Services (CMS) released their annual reporting and recovery threshold Alert.
CMS Town Hall Webinar Includes Updates on Key Topics
T he Centers for Medicare & Medicaid Services (CMS) held an interesting and informative Section 111 reporting Town Hall call for workers’ compensation, liability, and no
CMS Updates Re-Review Criteria
C MS updated its Workers’ Compensation Medicare Set-Aside Arrangement (WCMSA) Reference Guide on November 14, 2022. The new Reference Guide Version 3.8 provides an
CMS NGHP Webinar Announced
The Centers for Medicare and Medicaid Services (CMS) announced a Section 111 Non-Group Health Plan webinar for December 6, 2022 at 1pm EST. The notice can be found here.
Second Circuit Falls in Line on Medicare Advantage
Medicare Advantage Plans remain largely undefeated. For the last decade, MAPs have pulled off an impressive streak of wins as they – in an attempt to collect direct