Breaking CMS Medicare Updates

1/12/2022 - 4 min read

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).

12/22/2021 - 17 min read

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)

12/13/2021 - 2 min read

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.

12/13/2021 - 2 min read

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!

12/13/2021 - 13 min read

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!

11/23/2021 - 8 min read

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”.

11/12/2021 - 40 min read

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

11/11/2021 - 9 min read

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.

10/28/2021 - 2 min read

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.

10/15/2021 - 16 min read

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.

10/8/2021 - 1 min read

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.

10/8/2021 - 9 min read

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.

8/18/2021 - 4 min read

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.

8/12/2021 - 2 min read

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.

6/25/2021 - 10 min read

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).

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