Blog
-
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...
-
Success Spotlight: MSA Reduced by Over $600K Through Re-Review Process
At IMPAXX we advocate for our customers, which sometimes includes setting the record straight when the Centers for Medicare & Medicaid Services (CMS) includes treatments or medications in a...
-
CMS Announces COB&R Outages for Last Weekend in June
Due to system modernization efforts, there will be outages to the following Coordination of Benefits & Recovery (COB&R) applications and operations during the last weekend in June. Normal operations...
-
Conditional Payment Case Update: Angelo Et Al v. State Farm Mutual Automobile Insurance Company Et Al
by P. Czuprynski In Angelo et al v. State Farm Mutual Automobile Insurance Company et al, No.2:19cv12165, U.S. Dist. E.D. Mich. Southern Div. (3/26/2024), the Federal District Court in Michigan...
-
What to Know About Section 111 Audits
by B. Smith Section 111 audits are an important cost-containment measure to prevent potential Civil Money Penalties (CMPs) and conditional payment exposure. However, the thought of an audit can be...
-
CMS Releases Updated Self-Administration Toolkit Version 1.5
by J. Shymanski While dated May 15, 2024, the Centers for Medicare & Medicaid Services (CMS) released version 1.5 of the Self-Administration Toolkit for Workers’ Compensation Medicare Set-Aside Arrangements (WCMSAs)...
-
Medicare Provides Forms to Close CRC and BCRC Cases
by P. Czuprynski On May 13, 2024, Medicare issued two new forms that can be used to request that Medicare close a Commercial Repayment Center (CRC) or Benefits Coordination &...
-
Is CMS Still Approving Zero-Waiver MSAs?
by D. Dietz Yes, the Centers for Medicare and Medicaid Services (CMS) is still approving Zero-Waiver Medicare Set-Asides (MSAs) on a case-by-case basis. Approval is based on documentation provided to...
-
CMS to Host Q&A Session on the Expansion of TPOC Reporting on April 25
Due to technical difficulties during their April 16 webinar on an upcoming change to Section 111 Workers’ Compensation Reporting, that did not allow attendees to ask questions, CMS will...