Author Archives for Shannon Flynn

Success Spotlight: Persistence in the Re-Review Process Results in Savings of 65K
November 20, 2024 10:43 pm Comments Off on Success Spotlight: Persistence in the Re-Review Process Results in Savings of 65Kby K. Kline Advancing customer interests through the effective use of the Centers for Medicare...

CMS NGHP Civil Money Penalties Webinar and Slide Release
November 4, 2024 5:59 pm Comments Off on CMS NGHP Civil Money Penalties Webinar and Slide Releaseby B. Smith Updated: 01/06/25 – CMS provided an updated link to slides from their...

Testing Now Available for Upcoming Change to S111 Work Comp Reporting
October 30, 2024 2:50 pm Comments Off on Testing Now Available for Upcoming Change to S111 Work Comp ReportingResponsible Reporting Entities (RREs) can now test file layout changes for the upcoming change to...

CMS Updates ICD-10 and ICD-9 Valid Code Lists for 2025
October 28, 2024 4:44 pm Comments Off on CMS Updates ICD-10 and ICD-9 Valid Code Lists for 2025The Centers for Medicare & Medicaid Services (CMS) published updated ICD-10 and ICD-9 valid and...

CMS Updates NGHP User Guide to Version 7.7
October 21, 2024 8:32 pm Comments Off on CMS Updates NGHP User Guide to Version 7.7by F. Fairchok The Centers for Medicare & Medicaid Services (CMS) published an update to...

MSPN Annual Conference Recap
October 18, 2024 7:53 pm Comments Off on MSPN Annual Conference RecapBy M. Heberling and D. Dietz The National MSP Network held their annual educational conference...

CMS Discusses Section 111 Best Practices and More on NGHP Webinar
September 16, 2024 6:17 pm Comments Off on CMS Discusses Section 111 Best Practices and More on NGHP WebinarUpdated: 01/06/25 – CMS provided an updated link to slides from their September 12 webinar on the What’s...

Understanding Medicare’s Three-Year Dates of Service Limitation
September 6, 2024 8:41 pm Comments Off on Understanding Medicare’s Three-Year Dates of Service Limitationby P. Czuprynski The Medicare Secondary Payer Act requires reimbursement from an insurer or self-insured...

Will Lower Drug Price Negotiations Impact MSAs?
August 28, 2024 4:16 pm Comments Off on Will Lower Drug Price Negotiations Impact MSAs?by B. Smith In a press release issued this month, CMS noted that the Biden-Harris...