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
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
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.
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
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
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,
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,
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
Dangers of Combining Opioids and Benzodiazepines
Opioids are not the only prescription drugs fueling injured worker’s addiction, risk of overdose deaths as well as cost of therapy. Extreme dangers are associated with