Blog
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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...
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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...
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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...
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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...
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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...
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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...
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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...
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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...
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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...