Blog
-
Understanding Medicare’s Three-Year Dates of Service Limitation
by P. Czuprynski The Medicare Secondary Payer Act requires reimbursement from an insurer or self-insured entity associated with a workers’ compensation, or a liability claim when there is (1) reasonable...
-
Will Lower Drug Price Negotiations Impact MSAs?
by B. Smith In a press release issued this month, CMS noted that the Biden-Harris Administration reached an agreement for lowering pricing on 10 select medications. This new pricing will...
-
CMS to Host Section 111 NGHP Reporting Webinar on September 12
The Centers for Medicare & Medicaid Services (CMS) will host a webinar on Thursday, September 12, 2024 at 1:00 pm ET featuring Non-Group Health Plan (NGHP) Section 111 reporting...
-
CMS Releases WCMSA Reference Guide v4.1 and Self-Administration Toolkit v1.6
by D. Dietz CMS recently published Workers’ Compensation Medicare Set-Aside (WCMSA) Reference Guide version 4.1, which is now available in the Download section of the Workers’ Compensation Medicare Set Aside...
-
CMS Issues NGHP Secondary Payer Reference Guide for Beneficiaries
by P. Czuprynski The Centers for Medicare & Medicare Services (CMS) has released version 1.0 of its Non-Group Health Plan (NGHP) Medicare Secondary Payer (MSP) Beneficiary Reference Guide pertaining to...
-
CMS Publishes Top 10 NGHP Section 111 Reporting Errors
by F. Fairchok The Centers for Medicare & Medicaid Services (CMS) published an updated listing of the top 10 errors for NGHP Section 111 reporting on July 19, 2024. This...
-
Chevron Deference Overturned: Potential Impacts on MSP Compliance
by B. Smith and P. Czuprynski In Loper Bright Enterprises v. Raimondo, 2024 U.S. LEXIS 2882, the United States Supreme Court overturned the way courts were ordered to view federal...
-
CMS Updates NGHP User Guide & NGHP Applicable Plan Appeals Guide
by F. Fairchok The Centers for Medicare & Medicaid Services (CMS) published updates to both the Non-Group Health Plan (NGHP) Section 111 Reporting User Guide and the Non-Group Health Plan...
-
Success Spotlight: 96% Success Rate on Zero MSA Submissions
The Centers for Medicare & Medicaid Services (CMS) has no official policy when it comes to approval of a zero Medicare Set-Aside (MSA) waiver. Does CMS base approvals on...