The Official Medicare Set Aside Blog And Information Resource

How Will Mandatory Reporting Be Affected by CMS’ Announcements Regarding Thresholds?

CMS, Mandatory Insurer Reporting, Medicare Set-Aside Blog, MSP News on December 13, 2016 | Posted by Jean S. Goldstein, JD

CMS recently announced a change in the reporting thresholds to $750 for liability settlements, and advised that it would maintain the $750 threshold for no-fault and workers’ compensation settlements, where the insurer or entity does not otherwise have ongoing responsibility for medicals (ORM).  Just yesterday, CMS issued a technical alert regarding the change in reporting […] Continue

NGHP MMSEA Section 111 User Guide Version 4.7 Released

CMS, Mandatory Insurer Reporting, MSP News on July 14, 2015 | Posted by Jessica M. Wingenroth, JD

In their fourth update this year, CMS applied four change requests to Version 4.7 of the NGHP MMSEA Section 111 User Guide. All changes incorporated information published in prior Alerts. Within Version 4.7 you can find the new: Recovery Agent process with dedicated fields, eliminating the prior TPA workaround; Section 111 Coordination of Benefits Secure […] Continue