Tag Archive: Total Payment Obligation to Claimant (TPOC)
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CMS to Review Expansion of TPOC Reporting During Webinar on April 16
The Centers for Medicare & Medicaid Services (CMS) will host another webinar on Tuesday, April 16, 2024 at 2:00 pm ET regarding the expansion of Section 111 NGHP Total...
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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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Highlights from CMS’ NGHP Civil Money Penalties Webinar
by J. Shymanski Updated: 1/29/24 – CMS provided a link to slides from their January 18 webinar on the What’s New page of the Mandatory Insurer Reporting for NGHP section on CMS.gov. On January 18, 2024,...
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CMS To Expand Section 111 TPOC Reporting to Include Submitted and Non-Submitted MSA Information
by B. Smith Updated: 11/21/23 - CMS provided a link to slides from their November 13 webinar on the What's New page of the Mandatory insurer reporting (NGHP) section on CMS.gov. -...
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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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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 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,...