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
We continue to monitor guidance from the Centers for Medicare & Medicaid Service (CMS) regarding Medicare Secondary Payer (MSP) compliance as related to workers’ compensation, liability, and no-fault insurance claims. As we often discuss here on our blog, CMS continues to place emphasis on satisfying MSP obligations. You may recall that in December 2018, CMS […] Continue
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
Earlier this week, in an effort to help reduce the exposure of outside activities for our at-risk population, the Social Security Administration (SSA) announced that local offices are now closed to the public for in-person service. The press release can be found here. Local offices will continue to provide critical services over the phone. In […] Continue
On Monday, the New York State Workers’ Compensation Board issued a bulletin that announced that the Board would no longer approve Section 32 Waiver Agreements that required the claimant to indemnify and hold the Carrier harmless for any payment made by Medicare for treatment of claimant’s work-related injuries before the execution of the Agreement. The […] Continue