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’s Section 111 NGHP Unsolicited Response File “opt-in” process –
Nutshell Summary Resource. The following “Nutshell Summary” is a general summary of this process.
The Centers for Medicare and Medicaid Services (CMS) has released a Non-Group Health Plan (NGHP) Applicable Appeals Reference Guide (Version 1.0, April 27, 2023).