We are at the midpoint of 2024—a year filled with significant claim activity. Revisit articles from our industry thought leaders and stay informed on Medicare's changes, including Section 111 penalties, new TPOC/WCMSA reporting, Medicare Set-Asides, along with other updates including FROI/SROI, Third-Party Litigation Funding (TPLF), and more.
Medicare Watch List 2024
Our annual Medicare 2024 Watch List Report contains a detailed overview of current MSP trends, important compliance points, and items to monitor going forward:
CMS’s new Section 111 TPOC/WCMSA reporting requirements
CMS’ new TPOC/WCMSA reporting requirements will require insurers to report several WCMSA data points. Read our articles to better understand and prepare for these upcoming changes.
- CMS holds a TPOC/WCMSA “Q & A” session
- CMS holds second TPOC/WCMSA webinar
- CMS releases new Alert regarding TPOC/WCMSA reporting
Section 111 civil money penalties (CMPs)
Earlier this year CMS held its much anticipated Section 111 NGHP CMPs webinar during which CMS discussed several important aspects regarding Section 111 penalties as summarized in our below article:
Section 111 User Guide Updates
CMS released Section 111 NGHP User Guide (Version 7.4) which contained updates related to the agency’s upcoming TPOC/WCMSA reporting requirements, along with other updates as outlined below:
Workers’ Compensation MSAs (WCMSAs)
A new WCMSA Reference Guide (Version 4.0) is now available. The guide offers updates on the CDC Life Table link and other information related to WCMSAs:
Conditional Payments
CMS released an updated MSP Recovery Portal User Guide contains which contains several updates related to conditional payment appeals and more:
FROI/SROI and WCIO
Be sure to read our latest updates regarding key trends regarding FROI/SROI reporting and WCIO updates:
- NCCI reduces eligibility for Medical and Indemnity Data Call reporting
- FROI/SROI and WCIO updates
- Optimizing Claims with Smarter Medical Record Review
- Verisk Launches Generative AI Tool to Support Faster Insurance Claim Processing
Third-Party Litigation Funding (TPLF)
We continue to provide important updates regarding Third-Party Litigation Funding (TPLF) issues, including new state laws, as outlined in our below articles:
- New update on commercial and law firm third-party funding
- New West Virginia law amends TPLF statutes
- Indiana passes new TPLF law
- Louisiana enacts new TPLF statutes
On-Demand Webinars
Stay current and gain valuable insights by watching our on-demand webinars.
- Optimizing Claims with Smarter Medical Record Review
- CMS Amended Review – Reduce WCMSAs and get claims settled with Verisk’s Second Look
- AI & generative AI's role in claims handling
- Breaking down CMS’s Section 111 TPOC/WCMSA data collection process – what to know and how Verisk can help
Questions?
We certainly hope you found the above overview and roundup helpful! Of course, let me know if you have any questions regarding the above issues, or how Verisk can help you!