Mandatory Insurer Reporting
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Analysis and Highlights: CMS’ Civil Money Penalties Final Rule
by B. Smith After much anticipation, the Centers for Medicare & Medicaid Services (CMS) has finalized its rule on how and when Civil Money Penalties (CMPs) will be imposed and...
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CMS to Host Change to Section 111 Workers’ Compensation Reporting Webinar on November 13
The Centers for Medicare & Medicaid Services (CMS) will be hosting a Change to Section 111 Workers' Compensation Reporting webinar on Monday, November 13, 2023 at 1:00 pm ET. The...
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CMS Issues Notice of Medicare Secondary Payer and Certain Civil Money Penalties Final Rule
Today, the Centers for Medicare & Medicaid Services issued an alert that it has finalized the rule specifying how and when it will calculate and impose Civil Money Penalties...
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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...