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Section 111 NGHP User Guide Version 6.0: What is Included in a TPOC?

CMS, Mandatory Insurer Reporting, Medicare Set-Aside Blog on October 16, 2020
Posted by Jessica M. Wingenroth, JD

Earlier this month the Centers for Medicare and Medicaid Services (CMS) released updated policy guidance surrounding the calculation of Total Payment Obligation to Claimant (TPOC) amounts, required to be reported by Responsible Reporting Entities (RREs) via Section 111, Mandatory Insurer Reporting. A TPOC is defined as a settlement, judgment, award or other payment that is […] Continue

CMS Webinar August 13, 2020 Section 111 Mandatory Insurance Reporting for Non-Group Health Plans (NGHP). Questions and Answers Now Available

CMS, Mandatory Insurer Reporting, Medicare Set-Aside Blog on September 18, 2020
Posted by Noel D. Sturtz, Client Program Manager

Following up on our July 15, 2020 Blog, The Centers for Medicare & Medicaid Services (CMS) has released to the public the August 13, 2020 Section 111 NGHP Reporting webinar and Questions and Answers document. The presentation highlighted Section 111 reporting tips, best practices, and reminders, as well as Medicare Secondary Payer Recovery Portal (MSPRP) […] Continue

CMS to Hold Section 111 Webinar

CMS, Mandatory Insurer Reporting, Medicare Set-Aside Blog on July 15, 2020
Posted by Jean S. Goldstein, JD, CMSP

The Centers for Medicare & Medicaid Services (CMS) will be hosting a Section 111 Non-Group Health Plan (NGHP) webinar on August 13, 2020 at 1:00 PM EST, and can be accessed here. As with most CMS webinars and presentations, the format will be opening remarks by CMS followed by a presentation that will include NGHP […] Continue

CMS Issues New Section 111 Alert

CMS, Mandatory Insurer Reporting, Medicare Set-Aside Blog on June 11, 2020
Posted by Jean S. Goldstein, JD, CMSP

Today, the Centers for Medicare & Medicaid Services (CMS) issued an alert which serves as a reminder that Non-Group Health Plan Responsible Reporting Entities (RREs) must include both Med Pay and PIP coverage limits for a policy when the coverages are being paid out on claims for the same injured party and incident under a […] Continue