Medicare Secondary Payer (MSP)

4/3/2025 - 7 min read

CMS Discusses General MSP Recovery Issues on its “MSP Intro” Webinar

On March 27, 2025, CMS held an “Introduction to MSP for Beneficiary Representatives” webinar.

3/25/2025 - 1 min read

Verisk’s TPOC/WCMSA Resource Center – Helping You Stay Compliant!

With CMS's new requirements in effect, we're thrilled to introduce Verisk's TPOC/WCMSA Resource Center, offering a variety of essential resources.

Happy Person Working Wearing Headphones 1

3/19/2025 - 1 min read

CMS to Hold an MSP Intro Webinar on March 27th at 1:00 p.m. (ET)

CMS will host an Introduction to MSP for Beneficiary Representatives webinar on March 27, 2025, at 1 p.m.

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).

1/10/2025 - 4 min read

CMS Releases Updated MSPRP User Guide (Version 6.4)

CMS released an updated MSPRP User Guide with changes to the security protocols for the Multi-Factor Authentication process.

Colleagues Conversing Around Conference Table

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.

Office Working Concentrating On Laptop Screen

12/11/2024 - 8 min read

New Section 111 NGHP User Guide (Version 7.8) – CMS Adds New Section Regarding WCMSAs

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

10/22/2024 - 7 min read

WCMSA Submission Remains Voluntary, Leveraging EBMSAs to Settle Claims

With CMS’s plans to collect WCMSA reporting data through Section 111 TPOC reporting, it may be a good time reconsider the EBMSA landscape.

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 11^th regarding Section 111 penalties.

8/21/2024 - 2 min read

New WCMSA Self-Admin Tool Kit – CMS Updates on MAP and Part D Plans

CMS releases updated WCMSA Self-Administration Tool Kit (v1.6), with key updates on Medicare Part C, MAP, and Part D plans.

7/30/2024 - 5 min read

Spotlight on WCMSAs – Nutshell Resource

How to prepare for CMS’ new TPOC reporting requirements – Nutshell resource summary.

7/30/2024 - 15 min read

Spotlight on WCMSAs - Preparing for CMS' New TPOC Reporting Requirements

Starting April 4, 2025, CMS requires Section 111 RREs to report specific WCMSA data for all Medicare beneficiary settlements in TPOC reporting.