Workers Compensation Topic

4/25/2025 - 2 min read

Colorado Delays Release 3.1 for FROI/SROI Reporting Until 7/30/2026

The DOWC announced it is delaying its implementation of Release 3.1 for FROI/SROI reporting. The transition has been delayed until 7/30/2026.

2/21/2025 - 3 min read

Changes On the Horizon in 2025 for Workers’ Comp Reporting

Discover key 2025 changes in workers' comp reporting, including new data elements, expanded participation, and updates on FROI SROI and loss costs.

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).

1/7/2025 - 2 min read

PAAS® Reimagined is the Next Evolution in Premium Audit Technology.

Enhancement to PAAS® leverages artificial intelligence and advanced search capabilities to streamline premium auditing and underwriting.

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.

10/16/2024 - 4 min read

Decimal Extension for Loss Costs and Rates are on the Horizon

The EDI & WCIO have discussed a change on how loss costs and rates are filed.

10/16/2024 - 4 min read

Verisk’s Data-Driven MSA: A Solution for Low-Dollar TPOC/WCMSA Reporting

Manage low-dollar workers’ compensation settlements ($25,000 or less) for Medicare beneficiaries under CMS’s updated process.

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.

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.

9/11/2024 - 4 min read

Are Your WCMSA Protocols Being Followed? How Verisk’s MSA Link Can Help

CMS’ new process will require insurers to report several WCMSA data points as part of settlements involving Medicare beneficiaries.

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.

8/21/2024 - 6 min read

New WCMSA Reference Guide (V 4.1) Focuses on Medicare Advantage and Part D

CMS' new WCMSA Reference Guide (v4.1) outlines WCMSA coordination with other health insurers.

7/30/2024 - 5 min read

Spotlight on WCMSAs – Nutshell Resource

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

Workers’ Compensation

Colorado Delays Release 3.1 for FROI/SROI Reporting Until 7/30/2026

Changes On the Horizon in 2025 for Workers’ Comp Reporting

CMS Will End One-Year Waiting Period to File WCMSA Amended Review Requests

CMS Releases WCMSA Reference Guide 4.2-CMS to End Review of $0 WCMSAs

PAAS® Reimagined is the Next Evolution in Premium Audit Technology.

CMS Retains its $750 “Low Dollar” Threshold for 2025

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

Decimal Extension for Loss Costs and Rates are on the Horizon

Verisk’s Data-Driven MSA: A Solution for Low-Dollar TPOC/WCMSA Reporting

CMS Releases Section 111 NGHP User Guide (Version 7.7)

Voluntary Testing for TPOC/WCMSA Reporting Starts October 7, 2024

Are Your WCMSA Protocols Being Followed? How Verisk’s MSA Link Can Help

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

New WCMSA Reference Guide (V 4.1) Focuses on Medicare Advantage and Part D

Spotlight on WCMSAs – Nutshell Resource