Tag Archive: Responsible Reporting Entity (RRE)
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CMS NGHP Civil Money Penalties Webinar and Slide Release
by B. Smith Updated: 01/06/25 – CMS provided an updated link to slides from their October 17 webinar on the What’s New page of the Mandatory Insurer Reporting for NGHP section on CMS.gov. Q&A...
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CMS Discusses Section 111 Best Practices and More on NGHP Webinar
Updated: 01/06/25 – CMS provided an updated 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. Q&A responses have...
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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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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 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 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...