Over the past year, CMS has tightened the rules around reporting certain non-group health plan (NGHP) claims. These changes impact how Responsible Reporting Entities

If you’ve followed us over these last several months, you know the saga of Medicare’s new mandate to report Medicare Set-Aside (MSA) amounts on all workers’ compensation

On June 17, 2025, the Centers for Medicare & Medicaid Services (CMS) hosted an educational webinar titled “Introduction to Workers’ Compensation Medicare Set-Asides

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

A major change is coming July 17, 2025 as the Centers for Medicare & Medicaid Services (CMS) ceases review of Workers’ Compensation Medicare Set-Asides (WCMSAs) with a

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

Today marks a pivotal point in workers’ compensation Medicare compliance. While for nearly fifteen years Medicare has required workers compensation claims payers to

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

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