CMS just released version 5.6 of the 270/271 Health Care Eligibility Benefit Inquiry and Response Companion Guide for Mandatory Reporting Non-GHP Entities. Changes in Version 5.6 The Part D Prescription Drug Enrollment Data (Table 27) has been updated to display the correct Segment IDs. Additionally, the date ranges for the Part C and Part D […] Continue
by Frank Fairchok, Vice President of Medicare Reporting Services Last week, CMS hosted a webinar to discuss upcoming changes to Section 111 Reporting for Non-Group Health Plan entities. These changes are related to the PAID Act, which was signed into law on December 11, 2020 giving CMS one year to begin providing Medicare Part C […] Continue
by Kristie Kline, Lead MSA Analyst and Noel D. Sturtz, Client Program Manager On March 11, 2020, The World Health Organization (WHO) deemed COVID-19 a pandemic. Two days later, on March 13, 2020, a national emergency is declared in the United States, with the U.S. having the world’s highest number of cases by the month’s […] Continue
A revised CMS Regional Office Contact List was posted on the WCMSA Submission page in the Workers’ Compensation Medicare Set-Aside Arrangements section. Phone numbers for the Seattle and San Francisco regional offices have been updated. The WCMSA Submission page is also a good resource for recently available downloads and documents, which provide useful and helpful insight into […] Continue
by Frank Fairchok, Vice President of Medicare Reporting Services On December 11, 2020 the Provide Accurate Information Directly Act, or PAID Act, was signed into law requiring CMS to modify the Mandatory Insurer Reporting query process to provide three years of Medicare Part C and Part D history for claimants identified as beneficiaries. The intent […] Continue