Section 111 Reporting

Colleagues Conversing Around Conference Table 3

3/13/2025 - 18 min read

Section 111 reporting: CMS’s road map to conditional payment recovery

Insurers must understand CMS's use of Section 111 data in the conditional payment recovery process to avoid consequences and liability.

1/8/2025 - 3 min read

CMS releases Section 111 NGHP User Guide (Version 7.9)

CMS has released an updated Section 111 NGHP User Guide regarding reporting related to NGHPs (liability, no-fault and workers’ compensation).

Colleagues Conversing Around Conference Table

12/19/2024 - 5 min read

CMS retains its $750 “Low Dollar” threshold for 2025

CMS has announced its low-dollar reporting and recovery thresholds for 2025, retaining the current $750 low-dollar threshold for certain cases.

10/28/2024 - 31 min read

CMS Unveils New Webpage Resource for NGHP Section 111 CMPs

CMS introduces two new resources related to NGHP Section 111 civil money penalties (CMPs): the NGHP Civil Money Penalties webpage and the CMPs workflow.

10/11/2024 - 17 min read

CMS releases Section 111 NGHP User Guide (Version 7.7)

CMS released an updated Section 111 NGHP User Guide for reporting on non-group health plans: liability, no-fault, and workers' comp.

10/1/2024 - 1 min read

CMS to host Section 111 NGHP CMPs Webinar on October 17th

CMS to host a Section 111 NGHP Section 111 CMP that will include reminders about Final Rule, the auditing process and important dates.

9/25/2024 - 13 min read

Voluntary testing for TPOC/WCMSA reporting starts October 7, 2024

Reminder for Section 111 NGHP RREs: CMS’s voluntary testing for the new TPOC/WCMSA reporting starts October 7, 2024.

9/25/2024 - 8 min read

CMS’s CMPs final rule is “applicable” October 11, 2024

CMS's CMPs final rule becomes “applicable” on October 11^th regarding Section 111 penalties.

8/22/2024 - 1 min read

CMS to hosts Section 111 NGHP Webinar – September 12th at 1:00 p.m. ET

CMS to host a Section 111 NGHP webinar, featuring reporting best practices and a Q&A session.

7/30/2024 - 5 min read

Spotlight on WCMSAs – Nutshell Resource

How to prepare for CMS’ new TPOC reporting requirements – Nutshell resource summary.

7/30/2024 - 15 min read

Spotlight on WCMSAs - preparing for CMS' new TPOC reporting requirements

Starting April 4, 2025, CMS requires Section 111 RREs to report specific WCMSA data for all Medicare beneficiary settlements in TPOC reporting.

7/18/2024 - 2 min read

Mid-Year “Round-Up” 2024 – tracking Medicare and claims updates

Stay updated on 2024’s key claim trends: Medicare changes, Section 111 penalties, TPOC/WCMSA reporting, MSAs, FROI/SROI, TPLF, and more.

7/9/2024 - 3 min read

Section 111 NGHP User Guide (V7.6): updates "cumulative injury" definition & TIN errors

CMS releases new Section 111 NGHP User Guide (V7.6) for NGHPs (liability, no-fault, and workers’ compensation) reporting.

4/26/2024 - 14 min read

CMS holds a TPOC/WCMSA “Question & Answer” session to further discuss its new Section 111 reporting process

On April 25th, CMS held a “Q and A” session to discuss its plans to require S.111 RREs to report various WCMSA data points as part of its TPOC reporting trigger.

4/9/2024 - 1 min read

CMS to hold second TPOC/WCMSA webinar on April 16, 2024 at 2:00 p.m. ET

CMS will be holding its second TPOC/WCMSA webinar on April 16th to discuss its plans to use Section 111 TPOC reporting to collect WCMSA data as part NGHP Section 111 reporting.