Tag Archive: Total Payment Obligation to Claimant (TPOC)
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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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How New TPOC Reporting Requirements are Impacting the Settlement Process for Workers Compensation
Vice President of Medicare Secondary Payer Compliance, Jennifer Shymanski, recently wrote an article for WorkCompWire’s Leaders Speak feature, How New TPOC Reporting Requirements are Impacting the Settlement Process for...
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Recap of CMS’ April 15 Webinar – TPOC Reporting of WCMSAs
by J. Shymanski On Wednesday, April 15, the Centers for Medicare & Medicaid Services (CMS) held the latest in a series of webinars on Section 111 Mandatory Insurer Reporting. This...
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Examining the Boundaries of Medicare’s Reimbursement Rights Under the MSP Act
Vice President of Lien Solutions, Patrick Czuprynski, recently wrote an article for WorkCompWire’s Leaders Speak feature, Examining the Boundaries of Medicare’s Reimbursement Rights Under the MSP Act, where he broke...
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Revisiting Civil Money Penalties (CMPs) for Liability Claims
by M. Heberling It has officially been one year since CMS implemented the final rule for Civil Money Penalties for Section 111 Reporting. We previously explained that CMS may impose...
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CMS Updates Section 111 NGHP User Guide to Version 8.0
by F. Fairchok The Centers for Medicare & Medicaid Services (CMS) recently published an update to the Non-Group Health Plan (NGHP) Section 111 Reporting User Guide. The refreshed User Guide,...
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CMS Issues NGHP User Guide Version 7.8
by B. Smith The Centers for Medicare & Medicaid Services (CMS) has issued a new Non-Group Health Plan (NGHP) User Guide, Version 7.8. CMS added a new language in Chapter...
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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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Testing Now Available for Upcoming Change to S111 Work Comp Reporting
Responsible Reporting Entities (RREs) can now test file layout changes for the upcoming change to S111 Workers’ Compensation reporting effective April 4, 2025. RREs should coordinate testing with their...