The Official Medicare Set Aside Blog And Information Resource

New MSP Law Alert: The PAID Act

Conditional Payments, Mandatory Insurer Reporting, Medicare Advantage, Medicare Set-Aside Blog, MSP Litigation, MSP News on December 17, 2020
Posted by Jessica M. Wingenroth, JD

Medicare Advantage Plan and Prescription Drug Plan Information will be Disclosed to Section 111 NGHP RREs Beginning in December 2021 On 12/11/2020, President Trump signed into law H.R. 8900, which made headlines as a one-week continuing resolution (CR), to prevent a government shutdown. However, tucked away within H.R. 8900, the “Further Continuing Appropriations Act, 2021, […] Continue

MEDVAL Announces 111 Reporter

CMS, Compliance, Mandatory Insurer Reporting on December 15, 2020
Posted by Shannon Flynn

Today, MEDVAL announced the launch of their new Section 111 Mandatory Insurer Reporting solution, 111 Reporter, which allows organizations to effectively manage their Section 111 reporting to the Centers for Medicare & Medicaid Services (CMS). Successful Management of Mandatory Insurer Reporting is EssentialThe proactive and successful management of the Section 111 reporting process has never […] Continue

CMS Will Maintain $750 Recovery Threshold for 2021

CMS, Mandatory Insurer Reporting, Medicare Set-Aside Blog, MSP News on November 30, 2020
Posted by Shannon Flynn

The Strengthening Medicare and Repaying Taxpayers Act of 2012 (the SMART Act) requires the Centers for Medicare & Medicaid Services (CMS) to publish an annual threshold for recovery in November, each year.  This threshold amount reflects an amount for which CMS will not spend more on collections than a claim is likely to yield. On November […] Continue

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