The Official Medicare Set Aside Blog And Information Resource

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

Court Finds Defendant Made Good Faith Effort to Secure SSN to Comply With Section 111 Reporting Requirements

CMS, Mandatory Insurer Reporting, Medicare Set-Aside Blog, MSP Litigation on May 6, 2020
Posted by Jean S. Goldstein, JD, CMSP

As we recently blogged, the comment period for the Centers for Medicare & Medicaid’s (CMS) Section 111 Civil Money Penalties (CMPs) proposed rule closed. This rule contains the circumstances for when the imposition of CMPs would apply, along with some important guidelines of when CMPs would not be imposed based upon good faith efforts to […] Continue

Comment Period Closed for Section 111 Civil Money Penalties Proposed Rule

CMS, Mandatory Insurer Reporting, MSP News on April 22, 2020
Posted by Jean S. Goldstein, JD, CMSP

On Monday, the comment period for the Centers for Medicare & Medicaid’s (CMS) Section 111 Civil Money Penalties (CMPs) proposed rule closed.  Entities that are responsible for complying with Section 111 reporting, and subsequently which may be subject to CMPs are referred to as Responsible Reporting Entities (RREs).  These entities must provide specific data on […] Continue

Proposed Civil Money Penalties Rule for Medicare Reporting to be Released

Mandatory Insurer Reporting, Medicare Set-Aside Blog, MSP News on February 14, 2020
Posted by Jean S. Goldstein, JD, CMSP

The Medicare Medicaid SCHIP Extension Act of 2007 (MMSEA) imposed Mandatory Insurer Reporting obligations on all Responsible Reporting Entities (RREs) when enacted in 2009.  These mandatory requirements specifically imparted obligations on all RREs and required entities to provide the Centers for Medicare & Medicaid Services (CMS) with data on claims that involve Medicare beneficiaries.  Furthermore, […] Continue