Author Archives: PMarshall

Section 111 Non-Group Health Plan (NGHP) Reporting Webinar – Thursday, August 13, 2020

On Thursday, August 13, 2020, CMS will be hosting a webinar for Non-Group Health Plan (NGHP) Liability Insurance (including Self-Insurance) No-Fault and Workers’ Compensation Section 111 Reporting entities.  CMS will provide initial opening remarks followed by a presentation which will include best practice and reminders.  Questions for the webinar can be mailed to: Section 111 […]

CMS Issues New Section 111 Alert

Jun 12, 2020 by Bridget Smith, JD CMS Issues New Section 111 Alert for Reporting No-Fault Insurance Limit on Non-Group Health Plan (NGHP) Claim Input Files In this Alert dated June 8, 2020, CMS  reminds Non-Group Health Plan (NGHP) Responsible Reporting Entities (RREs)  that when reporting No-Fault Insurance Limits via Section 111 both Med Pay […]

CMS Issues New WCMSA Reference Guide 3.1

May 19, 2020 by Bridget Smith, JD CMS has released a new Workers’ Compensation Medicare Set-Aside Reference Guide, Version 3.1, May 11, 2020, COBR-Q2-2020-v3.1 a link to which can be found here:  https://www.cms.gov/files/document/wcmsa-reference-guide-version-31.pdf  This version of the Guide contained the new reference to  the CDC life table 2017 that CMS has been utilizing for the […]

NuQuest Knowledge Series

Weekly half hour Tuesday webinars at 2:00 p.m. Eastern on a variety of MSP topics in one of our four Learning Tracks. Join us for our NuQuest Knowledge Series webinars and stay for the NuQuestions and Answers.  We will be moving this series to immediately follow the weekly NuQuest Knowledge Series on Tuesdays. Due to […]

Today is the Day!

April 1, 2020 – As of today, CMS will no longer be accepting Consent to Release Notes that do not include the following additional language: “Further, I have had the Workers’ Compensation Medicare Set-Aside Arrangement need and process explained to me, and I approve the contents of the submission.  Beneficiary initials_______.” If you have Workers’ […]

CMS Updates Regarding MSP Compliance Operations

March 25, 2020 – NuQuest has reached out to CMS to confirm operation functions for both conditional lien recovery and Workers’ Compensation Medicare Set-Aside submissions and approvals.  In addition, to our prior blog posting regarding CMS accepting electronic signatures that comply with the ESIGN Act, CMS has also confirmed the following: The WCRC is fully […]

Medication Pricing Updates

March 24, 2020 – The Red Book Average Wholesale Price (AWP)  for Meloxicam 7.5mg and 15mg is currently listed at $0.05 per pill.  This is a significant decrease from the prior listing price of $4.25 per pill.  If you have a WCMSAs that have not been submitted for CMS review or a NuShield MSA and […]