Our Insights

Author: Beth Hostetler   As of April 2025, the new Section 111 reporting requirements mandate the inclusion of MSA data for all workers’ compensation settlements, regardless of whether the voluntary MSA review process with CMS was followed. CMS has indicated that the reported data would be posted with a “W” to each applicable beneficiary’s Common […]

Attention all workers’ compensation carriers! Are you ready to revolutionize how you handle Medicare set-asides in nuisance value cases? Say goodbye to the old, cumbersome processes and hello to our innovative MSA111 product, designed specifically to help you plug the gaps and streamline your compliance efforts. 🌟 Why MSA111?  If you’re settling cases with a Medicare beneficiary and […]

Author: Mesha Thompson, Conditional Payment Compliance Manager With all of the recent changes, updates, and alerts coming from CMS, it is important to remember that various aspects of MSP compliance directly impact one another. Namely, Section 111 reporting and conditional payment appeals. This past week, AKCS was tasked with resolving a lien in excess of […]

Author: Logan Pry On August 8th, CMS issued an alert confirming that COBSW system updates are coming soon. The Section 111 Coordination of Benefits Secure Website (COBSW) provides general information on Section 111 reporting, links and instructions, reference materials including various user guides, as well as a secure portal which provides the ability to manage your […]

Author: Logan Pry CMS has released its first version of the Non-Group Health Plan Section 111 Reporting User Guide of 2024. Not long after a recent informational webinar regarding Civil Monetary Penalties held on January 18, CMS released version 7.4 of the User Guide, in which the primary update is the addition of Ch. III, sect. […]

Author: Ciara Koba CMS hosted a live webinar on January 18th at 1pm EST.  This webinar provided valuable information for responsible reporting entities (RREs) as the industry prepares for CMS to begin quarterly compliance audits and the imposition of civil monetary penalties.  Please find the highlights of the webinar below and if you have further questions about […]