Breaking CMS Medicare Updates

4/9/2024 - 1 min read

CMS to Hold Second TPOC/WCMSA Webinar on April 16, 2024 at 2:00 p.m. ET

CMS will be holding its second TPOC/WCMSA webinar on April 16th to discuss its plans to use Section 111 TPOC reporting to collect WCMSA data as part NGHP Section 111 reporting.

4/3/2024 - 12 min read

CMS Releases S.111 NGHP User Guide Version 7.5

CMS has released an updated Section 111 NGHP User Guide (Version 7.5, April 1, 2024) regarding S.111 reporting related to NGHPs.

3/20/2024 - 12 min read

Indiana Passes New TPLF Law Regulating Commercial Litigation Financing

On March 13, the governor of Indiana signed House Bill 1160 into law which contains new provisions regulating commercial litigation funding.

2/26/2024 - 7 min read

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.

1/30/2024 - 21 min read

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).

1/23/2024 - 20 min read

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.

1/18/2024 - 22 min read

New TPL Bills Introduced in the Florida Legislature

The new year is off to a fast start on the Third Party Litigation Funding (TPLF) front with two new TPLF bills introduced in Florida.

1/4/2024 - 1 min read

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.

12/11/2023 - 1 min read

CMS Announces Updates to the Medicare Secondary Payer Recovery Portal

(CMS) released an alert announcing that in January 2024 a new enhancement will be made to the MSPRP portal

12/5/2023 - 1 min read

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.

11/16/2023 - 10 min read

CMS Discusses Plans to Capture WCMSA Data Points as Part of TPOC Reporting During Recent Section 111 Webinar

CMS held a webinar to discuss its plans to require Section 111 (RREs) to report data points related to WCMSAs

10/11/2023 - 24 min read

CMS’s Section 111 Penalties “Final Rule” Released – Breaking Down CMS’s Penalty Provisions and How They Impact Section 111 Reporting

In an important development, CMS has released its Section 111 penalties “Final Rule” --- CMS penalties will go live in 60 days.

10/10/2023 - 2 min read

An Award-Winning Effort Breaks New Ground in Medical Record Review

Verisk leaders earn Technology Innovation honoree status in the 2023 PC360 Insurance Luminary program for their work on Discovery Navigator

9/28/2023 - 16 min read

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.

Breaking CMS Medicare Updates

Governor Justice Signs S.B. 850 into Law Amending West Virginia’s TPLF Statutes

CMS to Hold Second TPOC/WCMSA Webinar on April 16, 2024 at 2:00 p.m. ET

CMS Releases S.111 NGHP User Guide Version 7.5

Indiana Passes New TPLF Law Regulating Commercial Litigation Financing

CMS Releases New Information About TPOC/WCMSA Data Collection Process

CMS Releases Section 111 NGHP User Guide (Version 7.4)

CMS Discusses NGHP Section 111 Civil Money Penalties on its First CMPs Webinar

New TPL Bills Introduced in the Florida Legislature

Login Details Now Available for CMS Section 111 Penalties Webinar

CMS Announces Updates to the Medicare Secondary Payer Recovery Portal

CMS to Hold NGHP Section 111 Penalties Webinar

CMS Discusses Plans to Capture WCMSA Data Points as Part of TPOC Reporting During Recent Section 111 Webinar

CMS’s Section 111 Penalties “Final Rule” Released – Breaking Down CMS’s Penalty Provisions and How They Impact Section 111 Reporting

An Award-Winning Effort Breaks New Ground in Medical Record Review

OIRA Issues New Notice Regarding Section 111 Civil Money Penalties - Notice Addresses the Proposed Rule’s Economic Impact Designation