Blog
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CMS Updates ICD-10 and ICD-9 Valid Code Lists for 2025
The Centers for Medicare & Medicaid Services (CMS) published updated ICD-10 and ICD-9 valid and excluded liability and no-fault code lists for 2025 on October 21, 2024. Valid ICD-10...
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CMS Updates NGHP User Guide to Version 7.7
by F. Fairchok The Centers for Medicare & Medicaid Services (CMS) published an update to the Non-Group Health Plan (NGHP) Section 111 Reporting User Guide on October 7, 2024. The...
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MSPN Annual Conference Recap
By M. Heberling and D. Dietz The National MSP Network held their annual educational conference on September 25-27. This was an exciting year to be at the conference as there...
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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: 01/06/25 – CMS provided an updated 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. Q&A responses have...
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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...