CMS
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CMS to Begin Using 2019 Life Table
Starting June 4, 2022, the Centers for Medicare and Medicaid Services (CMS) will begin using the Center for Disease Control’s (CDC) “Table 1: Life Table for the total population:...
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Conditional Payments: Recent Wins
By P. Czuprynski After administrative appeals, IMPAXX recently won two claims associated with conditional payments. In both cases, Adjudicators (ALJ) with the Office of Medicare Hearing and Appeals determined Medicare...
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Medicare Secondary Payer Recovery Portal “Go Paperless” Webinar Highlights
By P. Czuprynski The Centers for Medicare & Medicaid Services (CMS) hosted a webinar to discuss its option for carriers, self-insureds, or their recovery agents to obtain service of conditional...
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New WCMSA Reference Guide Provides Much Needed Clarification On Section 4.3
By B. Smith On March 21, 2022, the Centers for Medicare and Medicaid Services (CMS) released a new Workers’ Compensation Medicare Set-Aside (WCMSA) Reference Guide, Version 3.6. The update to...
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CMS Advances Rulemaking for Section 111 Civil Money Penalties and Future Medicals
By F. Fairchok Last week, the Centers for Medicare & Medicaid Services (CMS) advanced the rulemaking process in two long-awaited areas. The Regulation Identifier Numbers for “Medicare Secondary Payer and...
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CMS Allows Payment of MSP Recovery Debts Via ACH
The Centers for Medicare & Medicaid Services (CMS) recently announced that Non-Group Health Plan (NGHP) and Group Health Plan (GHP) Medicare Secondary Payer (MSP) recovery debts may be paid...
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How To Make Sense of the CMS WCMSA Webinar
by B. Smith As promised, CMS hosted a WCMSA webinar on February 17, 2022. Although acknowledging that Section 4.3 of the Guide was the most pressing issue webinar participants wanted...
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CMS Issues New Guidance on Evidence-Based MSAs in WCMSA Reference Guide Version 3.5
Earlier this month, CMS issued Workers’ Compensation Medicare Set-Aside Arrangement (WCMSA) Reference Guide Version 3.5. The guide includes a new section, The Use of Non-CMS-Approved Products to Address Future...
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New Section 111 TPOC Alert Issued By CMS
by B. Smith CMS issued a new alert regarding the requirement to complete the Funding Delayed Beyond TPOC Start Date field in applicable situations. Specifically, the alert is a reminder...