Author Archives for Shannon Flynn
CMS Issues New WCMSA Reference Guide Version 3.8
November 15, 2022 2:09 pm Comments Off on CMS Issues New WCMSA Reference Guide Version 3.8By B. Smith Yesterday, CMS released version 3.8 of their Workers’ Compensation Medicare Set-Aside Arrangement...
CMS to Host Section 111 NGHP Reporting Webinar on Dec. 6
November 14, 2022 5:07 pm Comments Off on CMS to Host Section 111 NGHP Reporting Webinar on Dec. 6CMS will be hosting a Section 111 Non-Group Health Plan (NGHP) reporting webinar on Wednesday,...
Medicare Set-Aside Statistics 2020-2022 Continue to Show Increase in Submitted MSA Amounts
November 2, 2022 8:16 pm Comments Off on Medicare Set-Aside Statistics 2020-2022 Continue to Show Increase in Submitted MSA Amountsby B. Smith This week, the Centers for Medicare & Medicaid Services (CMS) released the...
CMS Now Consistently Requesting Expense Payment Histories
October 26, 2022 2:43 pm Comments Off on CMS Now Consistently Requesting Expense Payment Historiesby J. Mislanovich The Centers for Medicare & Medicaid Services (CMS) WCMSA Reference Guide has...
CMS Withdraws Future Medicals Proposed Rule
October 14, 2022 9:56 pm Comments Off on CMS Withdraws Future Medicals Proposed Ruleby B. Smith The Office of Management and Budget (OMB) posted a notice on its...
CMS Publishes NGHP User Guide Version 6.9
October 6, 2022 2:15 pm Comments Off on CMS Publishes NGHP User Guide Version 6.9by F. Fairchok CMS published an update to the NGHP User Guide on October 3,...
Eleventh Circuit Finds Medicare Advantage Plans Subject to Four-Year Statute of Limitations for Private Cause of Action Claims
August 29, 2022 5:28 pm Comments Off on Eleventh Circuit Finds Medicare Advantage Plans Subject to Four-Year Statute of Limitations for Private Cause of Action Claimsby B. Smith The Eleventh Circuit Court of Appeals dismissed a private cause of action...
Medicare Issues Group Health Plan (GHP) Defense Reference Guide
August 10, 2022 10:40 pm Comments Off on Medicare Issues Group Health Plan (GHP) Defense Reference Guideby P. Czuprynski Recently, Medicare issued a reference guide associated with conditional payment recovery related...
Eleventh Circuit Holds Section 111 Reporting Can Establish Elements of Private Cause of Action Under MSP Act
July 28, 2022 1:09 pm Comments Off on Eleventh Circuit Holds Section 111 Reporting Can Establish Elements of Private Cause of Action Under MSP Actby B. Smith The Eleventh Circuit Court of Appeals in MSP Recovery Claims, Series LLC...