Tag Archive: Ongoing Responsibility for Medical (ORM)
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CMS NGHP Civil Money Penalties Webinar and Slide Release
by B. Smith On October 17, 2024, the Centers for Medicare & Medicaid Services (CMS) held their latest webinar to provide further clarification on Civil Money Penalties (CMPs). There were...
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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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Medicare Provides Forms to Close CRC and BCRC Cases
by P. Czuprynski On May 13, 2024, Medicare issued two new forms that can be used to request that Medicare close a Commercial Repayment Center (CRC) or Benefits Coordination &...
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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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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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Conditional Payments: Recent Wins
By P. Czuprynski After administrative appeals, IMPAXX recently won two claims associated with conditional payments. In both cases, Adjudicators (ALJ) with the Office of Medicare Hearing and Appeals determined Medicare...