CMS
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CMS Updates Section 111 NGHP User Guide to Version 8.0
by F. Fairchok The Centers for Medicare & Medicaid Services (CMS) recently published an update to the Non-Group Health Plan (NGHP) Section 111 Reporting User Guide. The refreshed User Guide,...
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CMS Issues New WCMSA Reference Guide and Self-Administration Toolkit
by B. Smith This week, the Centers for Medicare & Medicaid Services (CMS) updated their WCMSA Reference Guide and Self-Administration Toolkit. Below is a summary of the pertinent updates. WCMSA Reference...
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Recap: CMS Intro to Medicare Secondary Payer for Beneficiary Representatives Webinar
by M. Heberling Updated: 04/07/25 - CMS provided a link to slides from their Introduction to Medicare Secondary Payer for Beneficiary Representatives webinar on March 27 on the What’s New page...
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CMS to Host Introduction to Medicare Secondary Payer for Beneficiary Representatives Webinar
The Centers for Medicare & Medicaid Services (CMS) announced they will be hosting an Introduction to Medicare Secondary Payer (MSP) for Beneficiary Representatives webinar on Thursday, March 27, 2025...
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The Wait is Over: CMS Change to Amended Review Timing Begins in April
By M. Heberling April will bring impactful changes to the Centers for Medicare & Medicaid Services (CMS) review process. We wanted to highlight these changes and make sure your organization...
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CMS Updates Amended Review Submission Criteria
by B. Smith On January 21, 2025, CMS issued a separate alert noting the changes to the zero-dollar MSA review process (see our separate blog on this topic here), and...
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CMS Issues New Guidance on Zero-Dollar WCMSAs and Updates Calculation Methods for Intrathecal Pumps
by B. Smith & C. Chovanec The Centers for Medicare and Medicaid Services (CMS) issued a new Workers’ Compensation Medicare Set-Aside Reference Guide version 4.2, dated January 17, 2025. Updates...
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CMS Releases Section 111 NGHP User Guide Version 7.9
by J. Shymanski CMS released version 7.9 of the Non-Group Health Plan (NGHP) User Guide yesterday. The only update in version 7.9 reflects the notice that CMS issues each year regarding...
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CMS Maintains $750 Recovery Threshold for 2025
CMS is required to publish an annual threshold for recovery each year. This threshold amount reflects an amount for which CMS will not spend more on collections than a...