2/21/2025 - 3 min read
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 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 an updated WCMSA Reference Guide (Version 4.2, January 17, 2025).
1/7/2025 - 2 min read
Enhancement to PAAS® leverages artificial intelligence and advanced search capabilities to streamline premium auditing and underwriting.
12/19/2024 - 5 min read
CMS has announced its low-dollar reporting and recovery thresholds for 2025, retaining the current $750 low-dollar threshold for certain cases.
12/11/2024 - 8 min read
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
The EDI & WCIO have discussed a change on how loss costs and rates are filed.
10/16/2024 - 4 min read
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 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
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
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
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
CMS' new WCMSA Reference Guide (v4.1) outlines WCMSA coordination with other health insurers.
7/30/2024 - 5 min read
How to prepare for CMS’ new TPOC reporting requirements – Nutshell resource summary.
7/30/2024 - 15 min read
Starting April 4, 2025, CMS requires Section 111 RREs to report specific WCMSA data for all Medicare beneficiary settlements in TPOC reporting.