Blog
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Recent Decision in FL Court of Appeal: Dispensing Practitioners Do Not Meet Definition of Pharmacist
by M. Heberling Today we are highlighting an interesting case law development in the State of Florida First District Court of Appeal, which could potentially affect workers’ compensation claims and...
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CMS Solicits Feedback on ORM Termination for Section 111 Reporting
The Centers for Medicare & Medicaid Services' (CMS) Division of Medicare Secondary Payer Program Operations (DMPO) announced today that they are soliciting feedback from the external MSP community regarding...
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CMS Updates NGHP User Guide to Version 8.4
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 April 13, 2026. The...
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How New TPOC Reporting Requirements are Impacting the Settlement Process for Workers Compensation
Vice President of Medicare Secondary Payer Compliance, Jennifer Shymanski, recently wrote an article for WorkCompWire’s Leaders Speak feature, How New TPOC Reporting Requirements are Impacting the Settlement Process for...
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Recap of CMS’ April 15 Webinar – TPOC Reporting of WCMSAs
by J. Shymanski On Wednesday, April 15, the Centers for Medicare & Medicaid Services (CMS) held the latest in a series of webinars on Section 111 Mandatory Insurer Reporting. This...
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CMS Releases WCMSA Reference Guide Version 4.5
by M. Heberling The Centers for Medicare & Medicaid Services (CMS) released an updated Workers’ Compensation Medicare Set-Aside Arrangements (WCMSA) Reference Guide version 4.5, on April 13, 2026. CMS made minimal...
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Examining the Boundaries of Medicare’s Reimbursement Rights Under the MSP Act
Vice President of Lien Solutions, Patrick Czuprynski, recently wrote an article for WorkCompWire’s Leaders Speak feature, Examining the Boundaries of Medicare’s Reimbursement Rights Under the MSP Act, where he broke...
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Good-Faith Dispute Over Workers’ Compensation Coverage Defeats Double Damages Suit by Medicare Advantage Plan
by P. Czuprynski In Bronson Healthcare Group, Inc. v. Conifer Insurance Company, 2026 Mich App Lexis 924, 2026 WL 271561 (decided 2/2/2026), a Medicare Advantage Plan (MAP) was seeking double...
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CMS Reschedules WCMSA Reporting Webinar for April 15
The Centers for Medicare & Medicaid Services (CMS) announced they have rescheduled their Workers’ Compensation Medicare Set-Aside (WCMSA) Reporting webinar. The webinar will now be held on Wednesday, April...