Blog
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CMS to Review Expansion of TPOC Reporting During Webinar on April 16
The Centers for Medicare & Medicaid Services (CMS) will host another webinar on Tuesday, April 16, 2024 at 2:00 pm ET regarding the expansion of Section 111 NGHP Total...
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Medicare Advantage Plans: Navigating Conditional Payment Appeals
by P. Czuprynski Federal regulations require Medicare Advantage Plans (MAPs) establish an administrative appeal process that allows a Qualified Independent Contractor, an Administrative Law Judge, the Medicare Appeals Council, and...
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CMS Issues Alert for Expansion of Section 111 NGHP Reporting to Include Data for WCMSA Arrangements
by M. Heberling The Centers for Medicare & Medicaid Services (CMS) issued a Technical Alert on February 23, 2024, related to changes to worker’s compensation Section 111 Reporting for Non-Group...
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CMS Issues Two New Alerts on Valentine’s Day: Reporting Threshold for 2024 and New Life Tables
The Centers for Medicare & Medicaid Services (CMS) issued two separate alerts on February 14. This first involves the reporting threshold for 2024 and the second is related to...
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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) or Total Payment of Obligation to Claimant (TPOC) associated with a workers’ compensation or liability...
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CMS Publishes NGHP Section 111 User Guide Version 7.4
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 January 22, 2024. This...
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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 January 22, 2024. This...
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Highlights from CMS’ NGHP Civil Money Penalties Webinar
by J. Shymanski Updated: 1/29/24 – CMS provided a link to slides from their January 18 webinar on the What’s New page of the Mandatory Insurer Reporting for NGHP section on CMS.gov. On January 18, 2024,...
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How Section 111 Reporting Shaped MSP Compliance in 2023 and Tips for Limiting Your Risk in 2024 (Part Two)– WorkCompWire
Senior Vice President Bridget Smith recently wrote a two-part article for WorkCompWire's Leaders Speak feature, How Section 111 Reporting Shaped MSP Compliance in 2023 and Tips for Limiting Your...