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Centers for Medicare & Medicaid Services (CMS)

Waiting For Cms Teaser
March 21, 2023

Waiting for CMS’s Section 111 penalties “final rule” – status, updates, and what’s next

Presently, the industry is waiting for CMS to release its Section 111 CMPs “final rule” to the public.

Medicare Commercial Teaser
March 17, 2023

Medicare’s Commercial Repayment Center (CRC) updates mailing address for Non-Group Health Plan (NGHP) Medicare Secondary Payer (MSP) correspondence

Medicare’s Commercial Repayment Center (CRC) updates mailing address for Non-Group Health Plan (NGHP) Medicare Secondary Payer (MSP) correspondence

Cms Final Rule Teaser
February 22, 2023

CMS pushes back the timeline to release its Section 111 penalties “final rule” for one-year (until February 18, 2024)

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.

New Cms Teaser
February 7, 2023

CMS makes updates to Section 111 NGHP User Guide (Version 7.0) – updates relate to upcoming changes to the NGHP Unsolicited Response File

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).

Cms Releases Teaser
January 17, 2023

CMS releases updated Medicare Secondary Payer Recovery Portal (MSPRP) User Guide (Version 5.6) – Updates to Open Debt Report, Compromise Requests, and Go Paperless notifications

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).

User Guide Teaser
January 12, 2023

CMS releases Section 111 NGHP User Guide (Version 7.0, January 9, 2023) – CMS announces several new updates to kick off 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.

Medicare Treasury Claims Teaser
January 11, 2023

Understanding Medicare Treasury claims – avoiding the pitfalls and steps for success

In this article, the author provides a general overview of Treasury collection actions in relation to CMS’s non-group health plan recovery process.

Cms Future Medicals Teaser
November 9, 2022

Back to the drawing board: CMS’s future medicals proposals are withdrawn – where does this leave LMSAs?

As reported in our October update, the Centers for Medicare and Medicaid Services’ (CMS’s) future medicals proposals have been withdrawn.

Thumbnail Headshot
June 30, 2022

Claims commitment: Empowering insurers on the innovation journey

The insurance industry has experienced tremendous change in the past few years.

Blog Teaser3
March 3, 2022

CMS on the move: Section 111 civil money penalties Final Rule and Future Medicals proposals are pending review for release

The OIRA website indicates that CMS’s long-awaited S111 CMP “final rule” and their “Future Medicals” proposals are completed and are now pending OIRA review for release.

Blog Teaser 3
December 13, 2021

The PAID Act is now live – 5 things you need to know (and how we can help!)

The Provide Accurate Information Directly (PAID) Act became effective on December 11, 2021 and is now live!

Blog Teaser Laptop Data
October 1, 2021

CMS announces that Section 111 Medicare Secondary Payer (MSP) records will accept future effective date starting October 4th

On Sept. 27, CMS released a notice announcing that starting Oct 4, 2021 the BCRC will accept MSP effective dates up to three months in the future for certain NGH claims.

Teaser Blog
July 29, 2021

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).

Teaser
June 25, 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).

Blog 2 Teaser
June 11, 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.

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