Breaking CMS Medicare Updates

Colleagues Conversing Around Conference Table

10/22/2024 - 17 min read

CMS addresses NGHP Section 111 penalties during its October 17 webinar

CMS conducted its second webinar on NGHP Section 111 CMPs, covering various topics related to CMPs for NGHP RREs.

10/11/2024 - 17 min read

CMS releases Section 111 NGHP User Guide (Version 7.7)

CMS released an updated Section 111 NGHP User Guide for reporting on non-group health plans: liability, no-fault, and workers' comp.

10/1/2024 - 1 min read

CMS to host Section 111 NGHP CMPs Webinar on October 17th

CMS to host a Section 111 NGHP Section 111 CMP that will include reminders about Final Rule, the auditing process and important dates.

9/25/2024 - 13 min read

Voluntary testing for TPOC/WCMSA reporting starts October 7, 2024

Reminder for Section 111 NGHP RREs: CMS’s voluntary testing for the new TPOC/WCMSA reporting starts October 7, 2024.

9/25/2024 - 8 min read

CMS’s CMPs final rule is “applicable” October 11, 2024

CMS's CMPs final rule becomes “applicable” on October 11^th regarding Section 111 penalties.

8/22/2024 - 1 min read

CMS to hosts Section 111 NGHP Webinar – September 12th at 1:00 p.m. ET

CMS to host a Section 111 NGHP webinar, featuring reporting best practices and a Q&A session.

7/30/2024 - 5 min read

Spotlight on WCMSAs – Nutshell Resource

How to prepare for CMS’ new TPOC reporting requirements – Nutshell resource summary.

7/30/2024 - 15 min read

Spotlight on WCMSAs - preparing for CMS' new TPOC reporting requirements

Starting April 4, 2025, CMS requires Section 111 RREs to report specific WCMSA data for all Medicare beneficiary settlements in TPOC reporting.

7/9/2024 - 3 min read

Section 111 NGHP User Guide (V7.6): updates "cumulative injury" definition & TIN errors

CMS releases new Section 111 NGHP User Guide (V7.6) for NGHPs (liability, no-fault, and workers’ compensation) reporting.

7/2/2024 - 0 min read

U.S. Supreme Court overturns Chevron – impacts agency rule challenges.

The U.S. Supreme Court's decision to overturn Chevron deference in Loper Bright Enterprises v. Raimondo (2024), will impact agency rules.

4/26/2024 - 14 min read

CMS holds a TPOC/WCMSA “Question & Answer” session to further discuss its new Section 111 reporting process

On April 25th, CMS held a “Q and A” session to discuss its plans to require S.111 RREs to report various WCMSA data points as part of its TPOC reporting trigger.

4/17/2024 - 13 min read

CMS' second TPOC/WCMSA webinar unveils key updates to Section 111 reporting.

CMS' second webinar unveils plans for Section 111 RREs to include WCMSA data points in TPOC reporting trigger.

4/16/2024 - 2 min read

CMS releases updated Medicare Secondary Payer Recovery Portal (MSPRP) User Guide

CMS has released an updated MSPRP User Guide Version which includes several updates, including the ability to find appeals status updates and updated operating hours for Experian.

4/15/2024 - 1 min read

CMS releases WCMSA Reference Guide Version 4.0

CMS has released an updated Workers’ Compensation Medicare Set-Aside (WCMSA) Reference Guide (Version 4.0, April 1, 2024).

Breaking CMS Medicare Updates

CMS Unveils New Webpage Resource for NGHP Section 111 CMPs

CMS addresses NGHP Section 111 penalties during its October 17 webinar

CMS releases Section 111 NGHP User Guide (Version 7.7)

CMS to host Section 111 NGHP CMPs Webinar on October 17th

Voluntary testing for TPOC/WCMSA reporting starts October 7, 2024

CMS’s CMPs final rule is “applicable” October 11, 2024

CMS to hosts Section 111 NGHP Webinar – September 12th at 1:00 p.m. ET

Spotlight on WCMSAs – Nutshell Resource

Spotlight on WCMSAs - preparing for CMS' new TPOC reporting requirements

Section 111 NGHP User Guide (V7.6): updates "cumulative injury" definition & TIN errors

U.S. Supreme Court overturns Chevron – impacts agency rule challenges.

CMS holds a TPOC/WCMSA “Question & Answer” session to further discuss its new Section 111 reporting process

CMS' second TPOC/WCMSA webinar unveils key updates to Section 111 reporting.

CMS releases updated Medicare Secondary Payer Recovery Portal (MSPRP) User Guide

CMS releases WCMSA Reference Guide Version 4.0