With the state legislative season in full-swing, Florida, along with several other states, has introduced legislation focused on regulating (TPLF).
Presently, the industry is waiting for CMS to release its Section 111 CMPs “final rule” to the public.
Medicare’s Commercial Repayment Center (CRC) updates mailing address for Non-Group Health Plan (NGHP) Medicare Secondary Payer (MSP) correspondence
New York expands Medical and Indemnity Data call reporting – expansion applies to all member carrier groups regardless of premium market share
In a major Section 111 development, (CMS) has extended the timeline to release its Section 111 civil money penalties (CMP) “final rule” until February 18, 2024.
Third-party litigation funding (TPLF) issues will continue to present challenges on several fronts in the new year.
As reported in our recent article, in early January CMS released a new version of their Section 111 NGHP Section 111 User Guide (Version 7.0, January 9, 2023).
The Centers for Medicare and Medicaid Services (CMS) has released an updated Medicare Secondary Payer Recovery Portal (MSPRP) User Guide Version 5.6 (January 9, 2023).
The (CMS) has released an updated Section 111 NGHP User Guide (Version 7.0, January 9, 2023) regarding Section 111 reporting related to non-group health plans.
In this article, the author provides a general overview of Treasury collection actions in relation to CMS’s non-group health plan recovery process.
On January 4, 2023, the Centers for Medicare and Medicaid Services (CMS) issued an RFP for its Workers’ Compensation Review Contractor (WCRC) contract.
It is no secret that Medicare secondary payer compliance issues often dominate the claims landscape and discussion.
The Centers for Medicare and Medicaid Services (CMS) has released its 2023 low dollar reporting and recovery threshold.
On 12/11/21, the (PAID Act) went live following a year-long implementation roll-out by the Centers for Medicare and Medicaid Services (CMS).
The Centers for Medicare and Medicaid Services held a non-group health plan Section 111 webinar, in which the agency discussed a wide variety of Section 111 topics.
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