Mark Popolizio, J.D.
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).
LMSA update: CMS’s “future medicals” proposals now scheduled for release in October 2021
CMS’s long-anticipated release of its “future medicals” notice of proposed rule making (NPRM) is now scheduled for October 2021.
CMS releases its PAID Act implementation plans – what’s next and how we can help
The following provides a general overview of the PAID Act, CMS’s implementation plans, and related considerations as follows.
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 to hold PAID Act webinar on June 23rd
CMS has announced it will be holding a webinar on June 23, 2021 at 1:00 p.m. (ET) regarding the PAID Act for NGHP responsible reporting entities (RREs).
CMS updates Chapter 7 of the Medicare secondary payer (MSP) recovery manual
The Centers for Medicare and Medicaid Services (CMS) has released an update to Chapter 7 of its Medicare secondary payer (MSP) recovery manual.
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’s Section 111 penalty proposals – current status and FAQs
There remains much anticipation regarding the current state of the Centers for Medicare and Medicaid Services’ (CMS’s) Section 111 civil money penalties proposals.
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).
The COMP Act is reintroduced in the U.S. Senate
On 3/10/21, Senators Ben Cardin (D-MD) and Rob Portman (R-OH) introduced the Coordination of Medicare Payments and Workers’ Compensation Act (COMP Act) (S. 653) into…
CMS to host BCRC and CRC NGHP town hall on April 1st
CMS has announced it will be holding a Benefits Coordination & Recovery Center and Commercial Repayment Center Non-Group Health Plan town hall on April 1, 2021.
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).
LMSA update: CMS’s “future medicals” proposals now scheduled for release in March 2021 | New LMSA case decision highlights continuing claims challenges
LMSA update: OIRA has issued an updated noticing indicating CMS’s “future medical” proposals are delayed again and projected for release in March 2021.
The PAID Act is now law
It requires CMS to expand its Section 111 Query Process to identify whether a claimant is currently entitled to.
New case highlights how LMSA issues and questions continue to complicate liability claim settlements
In Abate V. Wal-Mart Stores East, L.P. the court found CMS’s 9/30/11 memo didn’t mandate the plaintiff get a letter from her doctor certifying treatment was completed or…