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Section 111 Reporting

Women On Desktop Teaser
February 26, 2024

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.

Cms Releases Section 111 7 4 Teaser
January 30, 2024

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).

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January 23, 2024

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.

Cms Login
January 4, 2024

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.

Typing On Computer
December 5, 2023

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.

Important Cms Alert Teaser
September 28, 2023

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.

Connecticut Court Teaser
August 7, 2023

The United States District Court for Connecticut dismisses a Medicare Advantage claim for “double damages” – rules that insurer’s Section 111 reporting not sufficient to establish standing

Interesting new Medicare Advantage recovery case, the United States District Court for Connecticut in MSP Recovery Claims, Series LLC v. Travelers Indemnity Company

Mid Year Legal Review Teaser
June 28, 2023

Mid-Year “Round-Up” 2023 – keeping track of Medicare and other claims updates (ICYMI)

We are at the mid-point for 2023! It has been a busy year in so many claims areas. Time to regroup on the key claims updates over the past months – ICYMI style!

Cms Blog June Teaser
June 7, 2023

CMS holds webinar to discuss the Section 111 Non-Group Health Plan (NGHP) Unsolicited Response File “opt-in” feature (starts July 2023) and other Section 111 items

(CMS) held a webinar where the agency discussed its upcoming Section 111 Non-Group Health Plan (NGHP) Unsolicited Response File “opt-in” feature (starts July 2023)

Cms Releases Section 111 Teaser
June 7, 2023

CMS releases Section 111 NGHP User Guide (Version 7.2, June 5, 2023) – new changes include: NGHP Unsolicited Response File, ORM reporting trigger, ORM termination, and HEW software

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

Gavel on a white background with a small shadow.
May 23, 2023

The United States District Court for Massachusetts dismisses a Medicare Advantage claim for “double damages” – rules that insurer’s Section 111 reporting does not establish standing to sue

The U.S. District Court for Massachusetts dismisses Medicare Advantage claim for “double damages”—rules insurer’s Section 111 reporting doesn't establish standing to sue.

Cms Gender
May 1, 2023

CMS’s Query Process and non-binary/unspecified gender designations – current issues and considerations

Section 111 non-group health plan (RREs) involves the inability to submit non-binary or unspecified gender designations as part of the (CMS’s)

Second Circuit Teaser
April 25, 2023

Second Circuit dismisses Medicare Advantage “double damages” lawsuit on standing grounds – rules the insurer's Section 111 reporting did not establish liability

In an interesting new Medicare Advantage recovery decision, the United States Second Circuit Court of Appeals in MSP Recovery Claims.

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.

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.

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