Recently Released and Soon to be Released Generics Expected to Reduce Claims Costs

Over the past several years, prescription drug costs related to workers’ compensation claims have risen dramatically, making it increasingly important for claims professionals to carefully evaluate this exposure and mitigate costs when possible. Optum Settlement Solutions understands that keeping up to date on new generic formulations is part of an overall strategic approach to reduce … Read moreRecently Released and Soon to be Released Generics Expected to Reduce Claims Costs

Social Security Number Removal Initiative

Social Security Numbers (SSN) have been used as the beneficiary identifier for administering the Medicare program since its inception. The Centers for Medicare & Medicaid (CMS) recently introduced the Social Security Number Removal Initiative (SSNRI) to remove the SSN from Medicare Cards. The primary goal of removing the SSN-based Health Insurance Claim Number (HICN) and … Read moreSocial Security Number Removal Initiative

CMS Releases NGHP Section 111 User Guide v5.2

CMS has released an updated NGHP User Guide, version number 5.2. The update clarifies MIR Section 111 reporting thresholds initially addressed in a published alert by CMS Financial Services Group posted to the Non-Group Health Plan Recovery site on November 15, 2016 entitled “2017 Recovery Thresholds for Certain Liability Insurance, No-Fault Insurance, and Workers’ Compensation … Read moreCMS Releases NGHP Section 111 User Guide v5.2

New Version of NGHP Section 111 User Guide 5.1

CMS has released an updated User Guide, version number 5.1, on October 10, 2016. This update expands upon the specific reference materials that may be obtained online at Section 111 Coordination of Benefits Secure Website (COBSW). CMS provides a summary of updates and impacted User Guide chapters stating “Chapter 1 Introduction and Overview and Chapter … Read moreNew Version of NGHP Section 111 User Guide 5.1