Author Archives for Shannon Flynn
Court Determines Medicare Advantage Lien Was Invalid in Wrongful Death Med-Mal Action
March 26, 2024 7:24 pm Comments Off on Court Determines Medicare Advantage Lien Was Invalid in Wrongful Death Med-Mal ActionBy B. Smith In Meador v. United States (D. Mass. Feb. 13, 2024)[1], plaintiffs filed...
CMS to Review Expansion of TPOC Reporting During Webinar on April 16
March 25, 2024 4:09 pm Comments Off on CMS to Review Expansion of TPOC Reporting During Webinar on April 16The Centers for Medicare & Medicaid Services (CMS) will host another webinar on Tuesday, April...
Medicare Advantage Plans: Navigating Conditional Payment Appeals
March 13, 2024 7:09 pm Comments Off on Medicare Advantage Plans: Navigating Conditional Payment Appealsby P. Czuprynski Federal regulations require Medicare Advantage Plans (MAPs) establish an administrative appeal process...
CMS Issues Alert for Expansion of Section 111 NGHP Reporting to Include Data for WCMSA Arrangements
February 26, 2024 2:41 pm Comments Off on CMS Issues Alert for Expansion of Section 111 NGHP Reporting to Include Data for WCMSA Arrangementsby M. Heberling The Centers for Medicare & Medicaid Services (CMS) issued a Technical Alert...
CMS Issues Two New Alerts on Valentine’s Day: Reporting Threshold for 2024 and New Life Tables
February 15, 2024 2:17 pm Comments Off on CMS Issues Two New Alerts on Valentine’s Day: Reporting Threshold for 2024 and New Life TablesThe Centers for Medicare & Medicaid Services (CMS) issued two separate alerts on February 14....
How Healthy Are Your Tax Identification Number (TIN) Reference Files?
February 9, 2024 5:15 pm Comments Off on How Healthy Are Your Tax Identification Number (TIN) Reference Files?by P. Czuprynski Responsible Reporting Entities (RREs) need to report Ongoing Responsibility for Medical (ORM)...
CMS Publishes NGHP Section 111 User Guide Version 7.4
February 1, 2024 5:44 pm Comments Off on CMS Publishes NGHP Section 111 User Guide Version 7.4by F. Fairchok The Centers for Medicare & Medicaid Services (CMS) published an update to...
CMS Publishes Top 10 NGHP Section 111 Reporting Errors
January 29, 2024 4:01 pm Comments Off on CMS Publishes Top 10 NGHP Section 111 Reporting Errorsby F. Fairchok The Centers for Medicare & Medicaid Services (CMS) published an updated listing...
Highlights from CMS’ NGHP Civil Money Penalties Webinar
January 23, 2024 5:12 pm Comments Off on Highlights from CMS’ NGHP Civil Money Penalties Webinarby J. Shymanski Updated: 1/29/24 – CMS provided a link to slides from their January 18...