Blog
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CMS Launches New NGHP Civil Money Penalties Webpage
by B. Smith The Centers for Medicare and Medicaid Services (CMS) has launched a new webpage regarding Section 111 Civil Money Penalties (CMPs) for Non-Group Health Plans (NGHP). The webpage...
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CMS to Host Second Webinar on Certain Civil Money Penalties Final Rule for NGHP Responsible Reporting Entities
The Centers for Medicare & Medicaid Services (CMS) has announced they will be hosting their second Medicare Secondary Payer (MSP) and Certain Civil Money Penalties (CMPs) Informational Webinar on...
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CMS Discusses Section 111 Best Practices and More on NGHP Webinar
Updated: 9/20/24 – CMS provided a link to slides from their September 12 webinar on the What’s New page of the Mandatory Insurer Reporting for NGHP section on CMS.gov. On September 12, 2024, CMS hosted another Section...
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Understanding Medicare’s Three-Year Dates of Service Limitation
by P. Czuprynski The Medicare Secondary Payer Act requires reimbursement from an insurer or self-insured entity associated with a workers’ compensation, or a liability claim when there is (1) reasonable...
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Will Lower Drug Price Negotiations Impact MSAs?
by B. Smith In a press release issued this month, CMS noted that the Biden-Harris Administration reached an agreement for lowering pricing on 10 select medications. This new pricing will...
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CMS to Host Section 111 NGHP Reporting Webinar on September 12
The Centers for Medicare & Medicaid Services (CMS) will host a webinar on Thursday, September 12, 2024 at 1:00 pm ET featuring Non-Group Health Plan (NGHP) Section 111 reporting...
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CMS Releases WCMSA Reference Guide v4.1 and Self-Administration Toolkit v1.6
by D. Dietz CMS recently published Workers’ Compensation Medicare Set-Aside (WCMSA) Reference Guide version 4.1, which is now available in the Download section of the Workers’ Compensation Medicare Set Aside...
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CMS Issues NGHP Secondary Payer Reference Guide for Beneficiaries
by P. Czuprynski The Centers for Medicare & Medicare Services (CMS) has released version 1.0 of its Non-Group Health Plan (NGHP) Medicare Secondary Payer (MSP) Beneficiary Reference Guide pertaining to...
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CMS Publishes Top 10 NGHP Section 111 Reporting Errors
by F. Fairchok The Centers for Medicare & Medicaid Services (CMS) published an updated listing of the top 10 errors for NGHP Section 111 reporting on July 19, 2024. This...