Tag Archive: Total Payment Obligation to Claimant (TPOC)
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CMS Issues NGHP User Guide Version 7.8
by B. Smith The Centers for Medicare & Medicaid Services (CMS) has issued a new Non-Group Health Plan (NGHP) User Guide, Version 7.8. CMS added a new language in Chapter...
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CMS NGHP Civil Money Penalties Webinar and Slide Release
by B. Smith Updated: 11/25/24 – CMS provided a link to updated slides (now including Q&A) from their September 12 webinar on the What’s New page of the Mandatory Insurer Reporting for NGHP section on CMS.gov. On October 17,...
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Testing Now Available for Upcoming Change to S111 Work Comp Reporting
Responsible Reporting Entities (RREs) can now test file layout changes for the upcoming change to S111 Workers’ Compensation reporting effective April 4, 2025. RREs should coordinate testing with their...
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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 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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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...
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What to Know About Section 111 Audits
by B. Smith Section 111 audits are an important cost-containment measure to prevent potential Civil Money Penalties (CMPs) and conditional payment exposure. However, the thought of an audit can be...
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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...