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Breaking CMS Medicare Updates

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January 12, 2022

CMS releases Section 111 NGHP User Guide (Version 6.7) – new updates provide a GoPaperless option for Medicare Secondary Payer Recovery Portal users

CMS has released an updated Section 111 NGHP User Guide (V 6.7, Jan 10, 2022) regarding non-group health plans. This updated guide replaces Version 6.6 (Dec. 13, 2021).

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December 22, 2021

CMS releases new Section 111 NGHP User Guide (Version 6.6)

CMS releases new Section 111 NGHP User Guide (Version 6.6) and an updated Section 111 NGHP 270/271 Companion Guide (Version 5.8)

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December 16, 2021

CMS retains its $750 “Low Dollar” threshold for 2022

The Centers for Medicare and Medicaid Services (CMS) has released its 2022 low dollar reporting and recovery threshold via a new alert.

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December 13, 2021

LMSA update: CMS’s “future medicals” proposals now scheduled for release in February 2022

A Fall 2021 notice indicating that CMS’s long-anticipated release of its “future medicals” notice of proposed rulemaking (NPRM) is now scheduled for February 2022.

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December 13, 2021

The PAID Act is now live – a new era of MSP compliance starts

Lights, camera, action! The Provide Accurate Information Directly (PAID) Act became effective as of December 11, 2021 and is now live!  

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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!

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November 23, 2021

CMS adjusts the maximum Section 111 reporting civil money penalties amount for inflation

CMS has released its “Adjustment of Civil Monetary Penalties for Inflation and the Annual Civil Monetary Penalties Inflation for 2021”.

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November 12, 2021

Federal rules committee recommends no immediate action for third-party funding disclosure rulemaking at recent meeting

Federal rules committee recommends no immediate action for TPF disclosure rulemaking at recent meeting

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November 11, 2021

CMS releases new NGHP Section 111 policy alert regarding the funding beyond the TPOC start date field

CMS “reminds” RREs to provide the actual or estimated date of funding in situations where funding of a TPOC will be delayed beyond the TPOC start date.

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October 28, 2021

CMS releases new NGHP Section 111 policy alert regarding the reporting of incorrect no-fault policy limits

The Centers for Medicare and Medicaid Services (CMS) has released a new NGHP Section 111 Policy Alert addressing the reporting of incorrect no-fault policy limits.

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October 15, 2021

Court finds that a LMSA for future medicals is not necessary as part of the parties’ liability settlement

CMS’s future medicals proposals now scheduled for release this month.

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October 8, 2021

CMS releases new WCMSA Reference Guide (Version 3.4)

CMS has just released their latest version of the WCMSA Reference Guide (Version 3.4, October 4, 2021). This new guide replaces WCMSA Reference guide version 3.3.

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October 8, 2021

CMS releases new NGHP Section 111 User Guide (Version 6.5)

CMS has released an updated S 111 NGHP User Guide (Version 6.5, October 4, 2021) regarding non-group health plans. This updated guide replaces Version 6.4.

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August 18, 2021

CMS releases Section 111 NGHP 270/271 Companion Guide (Version 5.7) - new release makes technical corrections to updates published in Versions 5.5 and 5.6

CMS has released an updated S 111 NGHP 270/271 Companion Guide Version 5.7, August 6, 2021, as part of its PAID Act implementation plans.

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August 12, 2021

CMS to hold PAID Act testing webinar on September 9, 2021

The Centers for Medicare and Medicaid Services (CMS) has announced that it will be holding a PAID Act testing webinar on September 9, 2021 at 1:00 p.m.

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