Starting March 27, 2021, 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: United States, 2018” for Workers’ Compensation Medicare Set Aside (WCMSA) life expectancy calculations. For any WCMSA proposal received by CMS through the voluntary review program, or […] Continue
The Centers for Medicare & Medicaid Services (CMS) recently announced that it will be hosting a Benefits Coordination & Recovery Center (BCRC) and Commercial Repayment Center (CRC) Non-Group Health Plan (NGHP) town hall meeting on April 1, 2021 at 1:00 pm ET. The meeting will provide an opportunity to discuss common NGHP topics. During the […] Continue
This week marks two months since the PAID Act became law. The act paves the way for Non-Group Health Plan (NGHP) Responsible Reporting Entities (RREs) to receive valuable Medicare Part C and Part D plan information for the injured parties they submit through the Centers for Medicare and Medicaid Services’ (CMS’) Section 111 query process. […] Continue
by Noel D. Sturtz, Client Program Manager, and Justin Boyd, Senior CMS Operations Specialist In our 10/14/20 blog, we highlighted a client success story of a CMS Amended Review . But what about a CMS Re-Review? Or is this just a matter of semantics? According to the latest version of the Workers’ Compensation Medicare […] Continue
Recently, the Centers for Medicare & Medicaid Services (CMS) released Version 6.2 of the Non-Group Health Plan (NGHP) MMSEA Section 111 User Guide, a key resource for addressing Section 111 reporting requirements as mandated by Section 111 of the Medicare, Medicaid and SCHIP Extension Act of 2007 (MMSEA). To help you stay up to date […] Continue