Tag Archive: Ongoing Responsibility for Medicals (ORM)
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Medicare Secondary Payer and False Claims Act Allegations Dismissed
by P. Czuprynski In the unpublished decision of Stillwell v. State Farm Fire & Cas. Co.[1], the U.S. District Court of Appeals, Eleventh Circuit, determined that a liability insurance carrier...
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CMS Updates NGHP User Guide to Version 8.4
by F. Fairchok The Centers for Medicare & Medicaid Services (CMS) released an update to the Non-Group Health Plan (NGHP) Section 111 Reporting User Guide on April 13, 2026. The...
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CMS Publishes NGHP Section 111 User Guide Version 7.4
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 January 22, 2024. This...
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CMS Issues Frequently Asked Questions Document for Civil Money Penalties
by B. Smith In a follow-up to the release of the final rule for Civil Money Penalties (CMPs), the Centers for Medicare and Medicaid Services (CMS) issued an alert regarding...
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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 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 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...