Blog
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Is Medicare Denying Payment for Treatment Under the MSP Act for Workers’ Compensation and Liability Claims?
by P. Czuprynski The Medicare Secondary Payer (MSP) Act allows Medicare to make payment and then seek reimbursement for Conditional Payments. This occurs when Medicare asks for reimbursement associated with...
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CMS to Begin Using 2022 Life Table
Starting June 14, 2025, 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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CMS to Host Intro to Workers’ Compensation MSAs Webinar
The Centers for Medicare & Medicaid Services (CMS) announced they will be hosting an Introduction to Workers’ Compensation Medicare Set-Asides (WCMSAs) webinar on Tuesday, June 17, 2025 at...
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Addressing Your Questions About WCMSA as Part of TPOC Reporting
by J. Shymanski The Centers for Medicare & Medicaid Services (CMS) announced earlier this year that starting on April 4, 2025, additional information would be required as part of the...
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CMS Provides Correction in Section 111 NGHP User Guide Version 8.1
The Centers for Medicare & Medicaid Services (CMS) recently published an update to their Non-Group Health Plan (NGHP) Section 111 Reporting User Guide. Version 8.1 contains a correction in...
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Recent Legislative Changes Impacting Mental Health Coverage for First Responders Injured at Work
by K. Kline When we think about workers’ compensation, we often think of cases involving bodily injury claims – traumatic physical injuries, occupational exposure, and similar examples immediately come to...
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IIGF is Not a Primary Payer Under the Medicare Secondary Payer Act
by P. Czuprynski In IIGF v. Becerra[1] the United States District court for the Northern District of Illinois determined conditional payments alleged by Medicare, did not require reimbursement by IIGF...
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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...