Mark Popolizio

Colleagues Conversing Around Conference Table

10/22/2024 - 17 min read

CMS Addresses NGHP Section 111 Penalties During its October 17 Webinar

CMS conducted its second webinar on NGHP Section 111 CMPs, covering various topics related to CMPs for NGHP RREs.

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.

9/18/2024 - 19 min read

CMS Covers NGHP Section 111 Reporting Issues in September 12 Webinar

On September 12, CMS’s NGHP Section 111 webinar covered TPOC reporting triggers, the TPOC/WCMSA process, and other updates.

9/17/2024 - 13 min read

CMS’s Section 111 Daily CMPs Max Rate for NGHP Reporting is Now $1,474

A new Section 111 update raises the maximum daily CMP for NGHP reporting.

9/11/2024 - 4 min read

Are Your WCMSA Protocols Being Followed? How Verisk’s MSA Link Can Help

CMS’ new process will require insurers to report several WCMSA data points as part of settlements involving Medicare beneficiaries.

8/21/2024 - 2 min read

New WCMSA Self-Admin Tool Kit – CMS Updates on MAP and Part D Plans

CMS releases updated WCMSA Self-Administration Tool Kit (v1.6), with key updates on Medicare Part C, MAP, and Part D plans.

8/21/2024 - 6 min read

New WCMSA Reference Guide (V 4.1) Focuses on Medicare Advantage and Part D

CMS' new WCMSA Reference Guide (v4.1) outlines WCMSA coordination with other health insurers.

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.

7/2/2024 - 0 min read

U.S. Supreme Court Overturns Chevron – Impacts Agency Rule Challenges.

The U.S. Supreme Court's decision to overturn Chevron deference in Loper Bright Enterprises v. Raimondo (2024), will impact agency rules.

Mark Popolizio, J.D.

CMS Addresses NGHP Section 111 Penalties During its October 17 Webinar

CMS Releases Section 111 NGHP User Guide (Version 7.7)

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

Voluntary Testing for TPOC/WCMSA Reporting Starts October 7, 2024

CMS’s CMPs Final Rule is “Applicable” October 11, 2024

CMS Covers NGHP Section 111 Reporting Issues in September 12 Webinar

CMS’s Section 111 Daily CMPs Max Rate for NGHP Reporting is Now $1,474

Are Your WCMSA Protocols Being Followed? How Verisk’s MSA Link Can Help

New WCMSA Self-Admin Tool Kit – CMS Updates on MAP and Part D Plans

New WCMSA Reference Guide (V 4.1) Focuses on Medicare Advantage and Part D

Spotlight on WCMSAs – Nutshell Resource

Spotlight on WCMSAs - Preparing for CMS' New TPOC Reporting Requirements

Mid-Year “Round-Up” 2024 – Tracking Medicare and Claims Updates

Section 111 NGHP User Guide (V7.6): Updates "Cumulative Injury" Definition & TIN Errors

U.S. Supreme Court Overturns Chevron – Impacts Agency Rule Challenges.