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
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
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
An updated MMSEA Section 111 NGHP User Guide version 5.9 has been posted to the NGHP User Guide page on CMS.gov with minor updates. Each chapter section has a summary of updates. For convenience the updates are listed below: Updates to the Policy Guidance Chapter Version 5.9 of the NGHP User Guide • A reminder […] Continue
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