Insights
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PRESS AND BLOG
CMS’ Civil Monetary Penalty Webinar: Highlights and Takeaways
CMS opened 2026 with additional clarity on the Civil Money Penalty (CMP) enforcement timeline during its January 15th webinar, offering important operational details for Responsible Reporting Entities (RREs) preparing for the first audits under the Section 111 Final Rule. While much of the rule’s framework has already been published, CMS used this session to reinforce expectations, outline milestone dates, and highlight critical administrative steps that RREs should take now.
CMS Releases Updated Section 111 NGHP User Guide ahead of CMP Webinar
To start 2026, CMS released Version 8.3 of the MMSEA Section 111 NGHP User Guide just five days into the year. Although not a voluminous overhaul, this update delivers several key clarifications and reminders that Responsible Reporting Entities should review carefully.
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Important NGHP Section 111 Guide Updates & How to Ensure Full Compliance
CMS has released an updated version of the NGHP Section 111 User Guide, introducing critical clarifications and new requirements that impact reporting. Staying ahead of these changes is essential to avoid compliance risks and potential penalties.
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From Cooking Oil Cars to AI: My Journey as an Accidental Eco-Warrior
Growing up, my oldest sister was the kind of environmentalist who made you side-eye her choices (lovingly, of course). Case in point: When she visited me in Pittsburgh years ago, she met with an engineer that built her a car that ran on used cooking oil she’d collected from restaurants. Yes, it smelled like french fries. Yes, I thought she’d lost it. But her mantra stuck with me: “Just do what you can, and if we all do that, we’ll collectively have an impact.”
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Updates Abound in 2025 With New WCMSA Reference Guide Version 4.3
Already off to a hot year in WCMSA updates, CMS kicks off Q2 with another round of new information for the Medicare Secondary Payer community. Workers’ Compensation Medicare Set-Aside Reference Guide Version 4.3 published April 7, 2025 serves up the awaited language associated with the Amended Review timeframe elimination, as well as a Change of Submitter of Record process and a Notice of Settlement Received letter template.
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WCMSA 4.2 Update
The Centers for Medicare & Medicaid Services (CMS) has released the latest version of the WCMSA Reference Guide. Effective July 17, 2025, CMS will no longer accept or review WCMSA proposals with a zero-dollar ($0) allocation. Entities must now consider specific parameters to determine if a $0 WCMSA allocation is appropriate and maintain documentation to support that allocation.
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