Blog
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CMS Reinforces Need for Administration and Medicare Coordination in WCMSA Reference Guide Version 4.6
by M. Heberling On July 13, 2026, the Centers for Medicare & Medicaid Services (CMS) released an updated Workers' Compensation Medicare Set-Aside (WCMSA) Reference Guide version 4.6. This updated guide contains...
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The Fumble of California SB 795: Where Sport and Jurisdictional Liability Intersect
by S. Parker California has long been known for its expansive workers’ compensation system, particularly when it comes to cumulative trauma claims. In early 2026, lawmakers introduced Senate Bill 795...
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CMS Seeks Stakeholder Input on Future COB&R Webinar Topics
The Centers for Medicare & Medicaid Services (CMS), through its Division of Medicare Secondary Payer Program Operations (DMPO), is inviting stakeholders to help shape the future of its Coordination...
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Medicare Secondary Payer and False Claims Act Allegations Dismissed
by P. Czuprynski In the unpublished decision of Stillwell v. State Farm Fire & Cas. Co.[1], the U.S. District Court of Appeals, Eleventh Circuit, determined that a liability insurance carrier...
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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...