Author Archives for Shannon Flynn
CMS to Host Introduction to Medicare Secondary Payer for Beneficiary Representatives Webinar
March 6, 2025 6:48 pm Comments Off on CMS to Host Introduction to Medicare Secondary Payer for Beneficiary Representatives WebinarThe Centers for Medicare & Medicaid Services (CMS) announced they will be hosting an Introduction...
Health and Human Services No Longer Applying Richardson Waiver
March 5, 2025 3:49 pm Comments Off on Health and Human Services No Longer Applying Richardson WaiverBy P. Czuprynski On March 3, 2025, the U.S. Department of Health and Human Services...
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...