CMS to Double Total Settlement Amount for 25% Fixed Percentage Recovery Option
On September 13, 2023, the Centers for Medicare & Medicaid Services (CMS) updated its Conditional Payment Fixed Percentage Option available to plaintiffs settling
CMS Releases Version 7.3 of the Non-Group Health Plan User Guide to Clarify ORM Triggers
This week, the Centers for Medicare and Medicaid Services (CMS) released version 7.3 of their Non-Group Health Plan (NGHP) User Guide with a few modifications. The most
CMS Updates the NGHP User Guide: RIP NOINJ
On June 5th the Centers for Medicare & Medicaid Services (CMS) released an updated Section 111 Non Group Health Plan (NGHP) User Guide. Version 7.2 of the User Guide
CMS Releases Version 3.9 of the WCMSA Reference Guide
Today, the Centers for Medicare and Medicaid Services (CMS) released version 3.9 of their Workers’ Compensation Medicare Set-Aside Arrangement (WCMSA) Reference Guide
CMS Announces Policy Guidance Change Relative to Subscription Insurance
In a recent NGHP Section 111 User Guide publication, the Centers for Medicare and Medicaid Services (CMS) added a new section (Chapter III, Section 6.1.13) to directly
Narcan – Dosing and Considerations with OTC Availability
The latest buzz is the Food and Drug Administration approved over-the-counter (OTC) sale of Narcan (naloxone) nasal spray to reverse opioid overdose. Without a
What Do Medicare and Charlie Brown Have in Common?
Lucy and Charlie Brown. The Cleveland Indians. Peter O’Toole. The Minnesota Vikings[1]. CMS and Medicare Secondary Payer regulations. If you got “Famous Almosts” you
CMS Publishes Version 7 of the NGHP User Guide
On January 9, 2023, the Centers for Medicare and Medicaid Services (CMS) published version 7.0 of the Non-Group Health Plan (NGHP) User Guide, found here. Version 7
Annual Reporting & Recovery Threshold Alert: CMS Retains $750 TPOC and Recovery Threshold
O n Tuesday, December 13th the Centers for Medicare & Medicaid Services (CMS) released their annual reporting and recovery threshold Alert.