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ECS on MSP

Expert Insight into the Latest News & Updates for Medicare Secondary Payer Compliance

CMS Updates WCMSA Reference Guide: New Policy on EBMSAs

CMS Updates WCMSA Reference Guide: New Policy on EBMSAs

Yesterday, CMS released an updated Workers’ Compensation Medicare Set-Aside (WCMSA) Reference Guide. Version 3.5 of the guide contains two new sections and no other

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January 12, 2022
CMS Section 111 User Guide Update Includes Key Policy Announcement

CMS Section 111 User Guide Update Includes Key Policy Announcement

On Monday December 20th, the Centers for Medicare & Medicaid Services (CMS) released an updated Section 111 Non-Group Health Plan User Guide, clarifying two recent

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December 20, 2021
Medicare’s Epic Game of “Kick the Can” Continues…

Medicare’s Epic Game of “Kick the Can” Continues…

Yet again, Medicare pushed back the unveiling of a notice of proposed rulemaking on regulations governing post-settlement medical care of Medicare beneficiaries. ECS

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December 20, 2021
On CMS’ Recent Section 111 Alerts

On CMS’ Recent Section 111 Alerts

Late last month we wrote about a Centers for Medicare & Medicaid Services (CMS) Section 111 reporting alert regarding updates to the “No-Fault Policy Limits” field.

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November 12, 2021
Get Ready! EW PharmD Reviews the 2021 Draft CDC Guidelines for Prescribing Opioids

Get Ready! EW PharmD Reviews the 2021 Draft CDC Guidelines for Prescribing Opioids

The CDC Guideline for Prescribing Opioids for Chronic Pain – United States, 2016, provided 12 recommendations for prescribing opioid pain medications for outpatients

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November 2, 2021
MIR Alert Regarding No-Fault Policy Limit

MIR Alert Regarding No-Fault Policy Limit

On October 26, 2021, the Centers for Medicare and Medicaid Services (CMS) published a Non-Group Health Plan (NGHP) alert regarding the reporting of No-Fault Insurance

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October 28, 2021
CMS Updates Section 111 NGHP User Guide

CMS Updates Section 111 NGHP User Guide

On Tuesday October 5th the Centers for Medicare & Medicaid Services (CMS) published version 6.5 of the NGHP User Guide. There are a number of substantive changes,

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October 5, 2021
Minor Change at CMS Should Result in Quicker Claim Acceptance

Minor Change at CMS Should Result in Quicker Claim Acceptance

On Monday, September 27, 2021, the Centers for Medicare and Medicaid Services (CMS) announced a minor, yet impactful change to their Section 111 processes. October 4,

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September 28, 2021
A Comprehensive View of the Amended Review Process

A Comprehensive View of the Amended Review Process

Recap of Amended Review: It has been four years since CMS introduced its Amended Review process on July 10, 2017. By way of background, Amended Review finally afforded

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September 9, 2021
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