Mark Popolizio

2/26/2024 - 7 min read

CMS Releases New Information About TPOC/WCMSA Data Collection Process

A February Alert provided more information on CMS’s plans to require RREs to report WCMSA data as part of its TPOC reporting trigger.

2/20/2024 - 8 min read

CMS Retains its $750 “Low Dollar” Threshold for 2024

CMS has announced that it is retaining its current $750 low dollar threshold for certain cases in 2024.

1/30/2024 - 21 min read

CMS Releases Section 111 NGHP User Guide (Version 7.4)

CMS released an updated Section 111 NGHP User Guide (Version 7.4) regarding reporting related to non-group health plans (NGHPs).

1/23/2024 - 20 min read

CMS Discusses NGHP Section 111 Civil Money Penalties on its First CMPs Webinar

CMS’s Section 111 ‘penalties’ webinar discussed different CMPs changes, including, how CMPs will be calculated, the audit process, notice/appeal, and safe harbors.

1/18/2024 - 22 min read

New TPL Bills Introduced in the Florida Legislature

The new year is off to a fast start on the Third Party Litigation Funding (TPLF) front with two new TPLF bills introduced in Florida.

1/4/2024 - 1 min read

Login Details Now Available for CMS Section 111 Penalties Webinar

CMS just provided new information on how to attend its January 18, 2024 NGHP CMPs webinar. Read the article to learn how you can attend.

12/11/2023 - 17 min read

Insurers Request House Take Lead in Addressing TPLF Practices

25 insurers (and other companies) recently sent a letter to the U.S. House of Representatives regarding TPLF practices.

12/7/2023 - 11 min read

Breaking Down CMS’s Plans to Capture WCMSA Data

CMS has announced plans to require Section 111 RREs to report various data points related to WCMSA arrangements

12/5/2023 - 1 min read

CMS to Hold NGHP Section 111 Penalties Webinar

CMS will be holding a Section 111 civil money penalties (CMP) webinar for (NGHPs) on January 18, 2024 at 1:00 p.m. ET.

11/29/2023 - 8 min read

CMS Corrects Minor “Technical Errors” in the Section 111 Penalties

In a new development, CMS has issued an update which corrects certain “technical errors” in the Section 111 final rule.

11/16/2023 - 10 min read

CMS Discusses Plans to Capture WCMSA Data Points as Part of TPOC Reporting During Recent Section 111 Webinar

CMS held a webinar to discuss its plans to require Section 111 (RREs) to report data points related to WCMSAs

11/7/2023 - 15 min read

CMS Releases New Section 111 Penalties FAQ Resource

CMS has now released a new Alert entitled CMS’s Medicare Secondary Payer and Certain Civil Money Penalties: Frequently Asked Questions

10/25/2023 - 1 min read

CMS to Hold Section 111 Webinar on November 13th – CMS to Discuss Expansion of TPOC reporting to include WCMSA information

CMS’s webinar notice, this session will focus on the expansion of TPOC reporting to include workers’ compensation Medicare set-asides (WCMSA).

10/11/2023 - 24 min read

CMS’s Section 111 Penalties “Final Rule” Released – Breaking Down CMS’s Penalty Provisions and How They Impact Section 111 Reporting

In an important development, CMS has released its Section 111 penalties “Final Rule” --- CMS penalties will go live in 60 days.

9/28/2023 - 16 min read

OIRA Issues New Notice Regarding Section 111 Civil Money Penalties - Notice Addresses the Proposed Rule’s Economic Impact Designation

As many will recall, earlier this year the (CMS) extended the timeline to release its Section 111 civil money penalties (CMP) “Final Rule” until February 18, 2024.

Mark Popolizio, J.D.

CMS Releases New Information About TPOC/WCMSA Data Collection Process

CMS Retains its $750 “Low Dollar” Threshold for 2024

CMS Releases Section 111 NGHP User Guide (Version 7.4)

CMS Discusses NGHP Section 111 Civil Money Penalties on its First CMPs Webinar

New TPL Bills Introduced in the Florida Legislature

Login Details Now Available for CMS Section 111 Penalties Webinar

Insurers Request House Take Lead in Addressing TPLF Practices

Breaking Down CMS’s Plans to Capture WCMSA Data

CMS to Hold NGHP Section 111 Penalties Webinar

CMS Corrects Minor “Technical Errors” in the Section 111 Penalties

CMS Discusses Plans to Capture WCMSA Data Points as Part of TPOC Reporting During Recent Section 111 Webinar

CMS Releases New Section 111 Penalties FAQ Resource

CMS to Hold Section 111 Webinar on November 13th – CMS to Discuss Expansion of TPOC reporting to include WCMSA information

CMS’s Section 111 Penalties “Final Rule” Released – Breaking Down CMS’s Penalty Provisions and How They Impact Section 111 Reporting

OIRA Issues New Notice Regarding Section 111 Civil Money Penalties - Notice Addresses the Proposed Rule’s Economic Impact Designation