Blog
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No More CMS Review of Zero WMSAs: What It Means for Settling Claims
by B. Smith As of July 17, 2025, the Centers for Medicare & Medicaid Services (CMS) will no longer review zero-dollar Workers’ Compensation Medicare Set-Asides (WCMSAs) as part of the...
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CMS Issues New WCMSA Reference Guide Version 4.4
The Centers for Medicare & Medicaid Services (CMS) recently issued an update to their Workers’ Compensation Medicare Set Aside (WCMSA) Reference Guide (version 4.4). Changes to this version of...
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Recap: CMS’ Introduction to WCMSAs Webinar
by M. Heberling On June 17, 2025, The Centers for Medicare & Medicaid Services (CMS) hosted a webinar that provided basic information related to Workers’ Compensation Medicare Set Asides (WCMSAs)....
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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...