Blog
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CMS Implements Medicare Set-Aside Data Sharing for Part D Plans
by P. Czuprynski The Centers for Medicare & Medicaid Services (CMS) recently announced that beginning in February 2026, they will share data elements, including specific prescription drug information, with Part...
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CMS to Host MSP and Certain Civil Money Penalties Webinar on January 15
The Centers for Medicare & Medicaid Services (CMS) announced they will be hosting a Medicare Secondary Payer (MSP) and Certain Civil Money Penalties (CMPs) informational webinar for Non-Group Health...
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A Cautionary Tale: Cabezas v. Penske Truck Leasing Co.
by B. Smith When it comes to disputes regarding the resolution of conditional liens as part of settlement, the courts will usually defer to settlement terms as their guide. This...
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CMS Releases NGHP User Guide Version 8.2
by F. Fairchok and B. Smith The Centers for Medicare & Medicaid Services (CMS) released an update to the Non-Group Health Plan (NGHP) Section 111 Reporting User Guide on November...
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Recovery Threshold Remains at $750 for 2026
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...
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CMS Updates ICD-10 and ICD-9 Valid Code Lists for 2026
The Centers for Medicare & Medicaid Services (CMS) published updated ICD-10 and ICD-9 valid and excluded liability and no-fault code lists for 2026. Valid ICD-10 List (XLSX) Excluded ICD-10 List (XLSX) ...
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Revisiting Civil Money Penalties (CMPs) for Liability Claims
by M. Heberling It has officially been one year since CMS implemented the final rule for Civil Money Penalties for Section 111 Reporting. We previously explained that CMS may impose...
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How To WIN The MSA Game
Are you winning the MSA game? IMPAXX CEO, Jon Gunter recently shared an essay, How to WIN The MSA Game, as part of WorkCompWire’s Partner Post feature. In the...
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CMS Postpones WCMSA Reporting Webinar
The Centers for Medicare & Medicaid Services (CMS) announced today that their Workers’ Compensation Medicare Set-Asides (WCMSA) Reporting webinar, originally scheduled for Wednesday, October 1, 2025 at 2:00 pm...