Mandatory Insurer Reporting
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OIRA Issues Notice Regarding Civil Money Penalties Rule. Is a Final Rule on the Way?
by B. Smith The Office of Management and Budget’s Office of Information and Regulatory Affairs (OIRA) published a notice regarding its review of the Medicare Secondary Payer and Certain Civil...
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CMS Clarifies Use of Empty Unsolicited Response Files
by F. Fairchok The Centers for Medicare & Medicaid Services (CMS) provided a notice on July 12, 2023, to clarify that NGHP Responsible Reporting Entities that have elected to receive...
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CMS Publishes NGHP Section 111 User Guide Version 7.2
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 June 5, 2023. This...
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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 Extends Timeline for Publication of Final Rule for Section 111 Civil Monetary Penalties by One Year
by B. Smith On the three year anniversary of the Section 111 Proposed Rule for Civil Monetary Penalties (CMPs) the Centers for Medicare & Medicaid Services (CMS) filed a notice...
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CMS Publishes NGHP User Guide Version 7.0
by F. Fairchok CMS published an update to the NGHP User Guide on January 9, 2023. In addition to several minor updates, Version 7.0 announced a new Unsolicited Response File...
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Key Takeaways from CMS’ NGHP Reporting Webinar
by F. Fairchok CMS hosted a webinar on December 6, 2022, to discuss best practices for Section 111 Reporting for Non-Group Health Plan (NGHP) entities. The one-hour webinar began with...