Jeremy Farquhar
CMS releases Section 111 NGHP 270/271 Companion Guide (Version 5.6) - new release makes technical corrections to Version 5.5 update
The Centers for Medicare and Medicaid Services (CMS) has released an updated Section 111 NGHP 270/271 Companion Guide (Version 5.6, July 22, 2021).
CMS discusses PAID Act implementation plans and timelines on webinar
On June 23rd, CMS held a webinar to discuss its plans to implement the PAID Act for non-group health plan (NGHP) responsible reporting entities (RREs).
New NGHP Section 111 User Guide (6.4) – PAID Act, ORM termination, and other updates
The Centers for Medicare and Medicaid Services (CMS) has released an updated Section 111 NGHP User Guide (Version 6.4, June 11, 2021) regarding non-group health plans.
CMS releases updated Section 111 Model Language document
The Centers for Medicare and Medicaid Services has released an updated Section 111 Model Language document dated March 10, 2021 (PDF version).
CMS releases new NGHP Section 111 User Guide (Version 6.3)
The Centers for Medicare and Medicaid Services (CMS) has released an updated Section 111 NGHP User Guide (Version 6.3, April 5, 2021).
CMS holds BCRC and CRC NGHP Town Hall session
The Centers for Medicare and Medicare Services held what it billed as a Benefits Coordination & Recovery and Commercial Repayment Center non-group health plan Town Hall.
CMS releases new NGHP Section 111 User Guide (Version 6.2, January 11, 2021)
CMS has released an updated Section 111 NGHP User Guide (Version 6.2, January 11, 2021) regarding non-group health plans (liability, no-fault, and workers’ compensation).
CMS releases new NGHP Section 111 User Guide (Version 6.1) and Technical Alert
CMS’ recently released NGHP Section 111 User Guide and Technical alert outline the eventually elimination of the ‘SP31’ error notices and updates to the “soft error”…
CMS releases new NGHP Section 111 User Guide (Version 6.0) and updated accepted/excluded ICD code listings
On 10/5/20, CMS released an updated Section 111 NGHP User Guide, V. 6.0. They also released updated versions of accepted and excluded ICD-9 and ICD-10 codes for 2021.
CMS holds Section 111 NGHP update webinar
On 8/13, CMS held a webinar on Section 111 non-group health plan reporting. The webinar covered NGHP Section 111 reporting best practices and MSPRP enhancements.
CMS releases new NGHP Section 111 User Guide (Version 5.8)
CMS has released an updated Section 111 User Guide (Version 5.8, January 31, 2020) regarding non-group health plans (liability, no-fault and workers’ compensation).
Think about your thresholds: Preventing errors to avoid CMS penalties
One way responsible reporting entities can attempt to achieve full CMS compliance and avoid potential penalties is to closely consider file thresholds.
Avoiding penalty problems by ensuring data accuracy
With CMS (Centers for Medicare and Medicaid Services) penalties on the horizon, we’ve been exploring how RREs (Responsible Reporting Entities) can be proactive in…
To avoid CMS penalty exposure time is of the essence
The timely reporting of ORM and TPOC data to CMS is of key importance to insurers, especially now enforcement of noncompliance penalties is on the horizon.
With civil money penalties looming, it’s time to fine-tune CMS reporting
Steering clear of CMS penalties is possible by implementing a meticulous query process and being mindful of the regulations surrounding ongoing medicals and total payment…