Breaking CMS Medicare Updates
6/20/2025 - 9 min read
CMS discusses general WCMSA compliance points on its June 17th webinar
On June 17th, the Centers for Medicare and Medicaid Services held an “Introduction to Workers’ Compensation Medicare Set-Asides (WCMSAs) Webinar.”
5/15/2025 - 12 min read
CMS’s New $0 WCMSA Policy Starts 7/17/25 – Key Points and How Verisk Can Help
Major changes are coming to $0 Workers’ Compensation Medicare set-asides (WCMSA) practices starting in July 2025.
5/7/2025 - 4 min read
CMS Releases Section 111 NGHP User Guide (Version 8.1)
CMS has released an updated Section 111 NGHP User Guide (Version 8.1, May 5, 2025) regarding Section 111 reporting related to non-group health plans.
4/11/2025 - 9 min read
CMS Releases Section 111 NGHP User Guide (Version 8.0) – Breaking Down CMS’s New Updates
CMS has released an updated Section 111 NGHP User Guide (Version 8.0, April 7, 2025) regarding S.111 reporting related to non-group health plans.
4/9/2025 - 4 min read
CMS Releases WCMSA Reference Guide and Self-Administration Tool-Kit
CMS released an updated WCMSA Reference Guide (Version 4.3) and a new WCMSA Self-Administration Tool Kit (Version 1.7).
1/23/2025 - 5 min read
CMS Will End One-Year Waiting Period to File WCMSA Amended Review Requests
CMS has a released an Alert advising that effective 4/7/2025, Amended Review requests “will be allowed at any time a WCMSA case is approved.”
1/22/2025 - 11 min read
CMS Releases WCMSA Reference Guide 4.2-CMS to End Review of $0 WCMSAs
CMS releases an updated WCMSA Reference Guide (Version 4.2, January 17, 2025).
12/19/2024 - 5 min read
CMS Retains its $750 “Low Dollar” Threshold for 2025
CMS has announced its low-dollar reporting and recovery thresholds for 2025, retaining the current $750 low-dollar threshold for certain cases.
10/28/2024 - 31 min read
CMS Unveils New Webpage Resource for NGHP Section 111 CMPs
CMS introduces two new resources related to NGHP Section 111 civil money penalties (CMPs): the NGHP Civil Money Penalties webpage and the CMPs workflow.
10/22/2024 - 17 min read
CMS Addresses NGHP Section 111 Penalties During its October 17 Webinar
CMS conducted its second webinar on NGHP Section 111 CMPs, covering various topics related to CMPs for NGHP RREs.
10/11/2024 - 17 min read
CMS Releases Section 111 NGHP User Guide (Version 7.7)
CMS released an updated Section 111 NGHP User Guide for reporting on non-group health plans: liability, no-fault, and workers' comp.
10/1/2024 - 1 min read
CMS to Host Section 111 NGHP CMPs Webinar on October 17th
CMS to host a Section 111 NGHP Section 111 CMP that will include reminders about Final Rule, the auditing process and important dates.
9/25/2024 - 13 min read
Voluntary Testing for TPOC/WCMSA Reporting Starts October 7, 2024
Reminder for Section 111 NGHP RREs: CMS’s voluntary testing for the new TPOC/WCMSA reporting starts October 7, 2024.
9/25/2024 - 8 min read
CMS’s CMPs Final Rule is “Applicable” October 11, 2024
CMS's CMPs final rule becomes “applicable” on October 11th regarding Section 111 penalties.