Blog
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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...
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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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Are You Ready for the New Workers’ Compensation MSA Reporting Requirements?
Senior Vice President Bridget Smith recently wrote two articles for WorkCompWire’s Leaders Speak feature, the second of which was Are You Ready for the New Workers’ Compensation MSA Reporting...
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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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Health and Human Services No Longer Applying Richardson Waiver
By P. Czuprynski On March 3, 2025, the U.S. Department of Health and Human Services (HHS) published a policy statement advising that HHS will no longer apply the “Richardson Waiver”...