Blog
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Highlights from CMS’ Latest Civil Money Penalties Webinar
by F. Fairchok Updated: 01/22/26 - CMS provided a link to slides from their January 15 webinar on the What’s New page of the Mandatory Insurer Reporting for NGHP section on CMS.gov. The Centers for Medicare &...
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Settlement Enforced Despite Dispute on Medicare and Medical Lien Terms
by P. Czuprynski In Smith v. Wal-Mart Stores E., LP.[1], a claimant filed a complaint alleging that Wal-Mart and Vestis Services was negligent, resulting in a slip and fall. The...
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CMS Updates NGHP User Guide & 2026 Reminders
by F. Fairchok The Centers for Medicare & Medicaid Services (CMS) released an update to the Non-Group Health Plan (NGHP) Section 111 Reporting User Guide on January 5, 2026. The...
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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) ...