Blog
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CMS to Host Section 111 NGHP Unsolicited Response File Webinar on June 6
The Centers for Medicare & Medicaid Services (CMS) will be hosting a Section 111 NGHP Unsolicited Response File webinar on Tuesday, June 6, 2023 at 1:00 pm ET. They will...
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CMS Releases NGHP Appeals Reference Guide 1.0
by B. Smith The Centers for Medicare & Medicaid Services (CMS) recently released the first Non-Group Health Plan (NGHP) Applicable Plan Appeals Reference Guide, Version 1.0 (Guide) dated April 27,...
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CMS Publishes NGHP Section 111 User Guide Version 7.1
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 April 24, 2023. This...
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CMS to Begin Using 2020 Life Table
Starting April 29, 2023, the Centers for Medicare and Medicaid Services (CMS) will begin using the Center for Disease Control’s (CDC) “Table 1: Life Table for the total population:...
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Is CMS Still Approving Zero Waiver MSAs?
by D. Dietz For our final knowledge series webinar on Medicare Secondary Payer Compliance, we discussed whether CMS is still approving Zero Waiver MSAs as well as Medical Zero MSAs....
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To Submit or Not Submit: Exploring Facts Around Non Submit MSAs
Yesterday, as part of our complimentary knowledge series of webinars on Medicare Secondary Payer Compliance, we discussed the Centers for Medicare & Medicaid Services (CMS) submission process and the...
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Exploring Different Processes for Medicare Liens: Parts A, B, C, and D
P. Czuprynski Earlier in March, as part of our complimentary knowledge series of webinars on Medicare Secondary Payer Compliance, we reviewed the different search and collection processes for Medicare Parts...
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CMS Announces New Mailing Address for CRC Correspondence
Effective March 13, the mailing address for Non-Group Health Plan (NGHP) Medicare Secondary Payer (MSP) correspondence has changed. After March 13, use the following mailing address when corresponding with...
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MSPA Claims/MSP Recovery Not Successful in Eleventh Circuit Appeal – MSP Act Does Not Preempt Insurance Policy or State Law
by J. Mislanovich Recently, the Eleventh Circuit ruled against MSPA Claims/MSP Recovery (MSPR) in MSP Recovery Claims, Series LLC v. United Auto. Ins. Co.[1], finding that the Medicare Secondary Payer...