Centers for Medicare & Medicaid Services (CMS)
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’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 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.
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 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).
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.
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.
Back to the drawing board: CMS’s future medicals proposals are withdrawn – where does this leave LMSAs?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in our October update, the Centers for Medicare and Medicaid Services’ (CMS’s) future medicals proposals have been withdrawn.
Claims commitment: Empowering insurers on the innovation journey
The insurance industry has experienced tremendous change in the past few years.
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.
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!
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.
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).
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).
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.