Author Archives for Shannon Flynn
The New Medicare? A Rise in Medicare Advantage Enrollment: What You Need to Know
March 4, 2025 1:33 pm Comments Off on The New Medicare? A Rise in Medicare Advantage Enrollment: What You Need to KnowSenior Vice President Bridget Smith recently wrote two articles for WorkCompWire’s Leaders Speak feature, the...
The Wait is Over: CMS Change to Amended Review Timing Begins in April
February 24, 2025 7:22 pm Comments Off on The Wait is Over: CMS Change to Amended Review Timing Begins in AprilBy M. Heberling April will bring impactful changes to the Centers for Medicare & Medicaid...
CMS Releases Section 111 NGHP User Guide Version 7.9
January 7, 2025 10:58 pm Comments Off on CMS Releases Section 111 NGHP User Guide Version 7.9by J. Shymanski CMS released version 7.9 of the Non-Group Health Plan (NGHP) User Guide...
CMS Maintains $750 Recovery Threshold for 2025
December 18, 2024 9:08 pm Comments Off on CMS Maintains $750 Recovery Threshold for 2025CMS is required to publish an annual threshold for recovery each year. This threshold amount...
CMS Issues NGHP User Guide Version 7.8
December 13, 2024 7:53 pm Comments Off on CMS Issues NGHP User Guide Version 7.8by B. Smith The Centers for Medicare & Medicaid Services (CMS) has issued a new...
Administrative Procedure Act: Medicare, Medicare Advantage and Prescription Plans Must Follow its Regulations
November 26, 2024 7:44 pm Comments Off on Administrative Procedure Act: Medicare, Medicare Advantage and Prescription Plans Must Follow its RegulationsWith Chevron Deference being overturned, stakeholders facing conditional payment demands or payment denials by Medicare...
Success Spotlight: Persistence in the Re-Review Process Results in Savings of 65K
November 20, 2024 10:43 pm Comments Off on Success Spotlight: Persistence in the Re-Review Process Results in Savings of 65Kby K. Kline Advancing customer interests through the effective use of the Centers for Medicare...
CMS NGHP Civil Money Penalties Webinar and Slide Release
November 4, 2024 5:59 pm Comments Off on CMS NGHP Civil Money Penalties Webinar and Slide Releaseby B. Smith Updated: 01/06/25 – CMS provided an updated link to slides from their...
Testing Now Available for Upcoming Change to S111 Work Comp Reporting
October 30, 2024 2:50 pm Comments Off on Testing Now Available for Upcoming Change to S111 Work Comp ReportingResponsible Reporting Entities (RREs) can now test file layout changes for the upcoming change to...