Industry Insights • News Releases CMS Publishes 2024 Medicare Set-Aside Statistics WCMSA Trends: Key takeaways from FY2023 to FY2024 On November 25th, 2024, The Centers for Medicare & Medicaid Services (CMS)... more November 26, 2024 • Jayson Gallant
Compliance • Education • News Releases Expediting Medical Settlements Through Professional Administration: Optimize Settlement Agreements Strategies to streamline efficiency and effectiveness in medical settlement processes The settlement of a workers' compensation or... more November 14, 2024 • Ametros
Compliance • Education A Deep Dive into the History of CMS MSA & Administration If carriers fail to reasonably consider Medicare’s interest in a settlement, they risk having a settlement disregarded and it puts... more September 4, 2024 • John Kane, AIC, MSCC, CMSP-F
Compliance • Education How Medicare Knows About Your Settlement: New WCMSA TPOC Requirements You are heading to your favorite summer destination on the highway and about to pull out and pass a car. You have your blinker on and... more August 15, 2024 • John Kane, AIC, MSCC, CMSP-F
Compliance • Industry Insights • Legislative & Regulatory New Self-Administration Toolkit: Beneficiaries Must Report MSA to Part C & D Plans On August 1st, 2024, Medicare added language to its Workers' Compensation Medicare Set Aside Self-Administration guide instructing injured... more August 2, 2024 • John Kane and Jayson Gallant
Compliance • Education • News Releases CMS Releases First Beneficiary Reference Guide for Traditional Medicare Payment Recovery Guide Breakdown On July 19, 2024, The Centers for Medicare and Medicaid Services (CMS) released the first version of the Beneficiary... more August 1, 2024 • John Kane and Jayson Gallant
Compliance • Industry Insights • Legislative & Regulatory CMS Updates NGHP MMSEA Section 111 User Guide to Version 7.6: Key Changes and Implications On July 1st, 2024, the Centers for Medicare and Medicaid Services (CMS) released an updated version of the Non-Group Health Plan (NGHP)... more July 5, 2024 • John Kane, AIC, MSCC, CMSP-F
Education Professional Administration for Medical Settlements: Understanding the Basics – Part 1 Settlement of a workers’ compensation or liability claim can and should be a win-win for both the injured individual and the payer.... more June 6, 2024 • Andrea Mills
Compliance • Industry Insights • Legislative & Regulatory Understanding Key Updates in CMS’ Updated Self-Administration Toolkit Version 1.5 On May 15th, the Centers for Medicare & Medicaid Services (CMS) released an updated version (1.5) of its Workers' Compensation Medicare... more May 23, 2024 • John Kane, AIC, MSCC, CMSP-F
Compliance • Industry Insights • Legislative & Regulatory Preparing for Section 111 WCMSA Reporting: Key Technical and Professional Administration Considerations The Centers for Medicare & Medicaid (CMS) hosted their second Section 111 Reporting of Workers Compensation Medicare Set-Asides (WCMSA)... more April 17, 2024 • John Kane and Jayson Gallant
Compliance • Education Securing Settlements for Medical Settlement Closure One of the biggest reasons injured individuals are reluctant to settle their claims is uncertainty. It often keeps many individuals... more April 10, 2024 • John Kane, AIC, MSCC, CMSP-F
Compliance • Industry Insights • Legislative & Regulatory Key Updates in NGHP User Guide Version 7.5: WCMSA Reporting Essentials On April 2, the Centers for Medicare and Medicaid Services (CMS) released an update to the Section 111 NGHP User Guide Version 7.5. ... more April 3, 2024 • John Kane, AIC, MSCC, CMSP-F