No-Fault Medicare Set-Aside (NFMSA)

CMS has released an updated Section 111 NGHP User Guide regarding reporting related to NGHPs (liability, no-fault and workers’ compensation).

CMS has announced its low-dollar reporting and recovery thresholds for 2025, retaining the current $750 low-dollar threshold for certain cases.

CMS released an updated Section 111 NGHP User Guide (Version 7.8) regarding S.111 reporting related to non-group health plans. 

The insurance industry has experienced tremendous change in the past few years.

The Centers for Medicare and Medicaid Services (CMS) has released a new NGHP Section 111 Policy Alert addressing the reporting of incorrect no-fault policy limits.

The real question is: What, when, and how is CMS going to step into the liability and no-fault arena and how will it affect claims management?

It’s clear there will be no shortage of Medicare Secondary Payer developments to keep an eye on this year. Here’s an outline of MSP events to watch in 2017.

The dust is still swirling around the Liability Medicare Set-Aside (LMSA) issue, but a few areas clearly show Medicare’s plan and intended next steps.

CMS has issued a Change Request (CR-9893) to update it's Common Working File regarding both Liability and No-Fault Medicare Set-Aside arrangements.