On April 1, 2021, CMS held its scheduled Town Hall with the Benefits Coordination & Recovery (BCRC) and Commercial Repayment Center (CRC) for Non-Group Health Plans (NGHP). Although parts of the Town Hall included information that was already disseminated by CMS in the past, there were some specific highlights as noted below. Partial Resolution of […]
August 17, 2020 by Patrick Czuprynski On 8/13/2020, CMS provided a webinar and PowerPoint presentation to highlight and refresh stakeholders regarding certain aspects of Section 111 reporting and the recommendations outlined in the MMSEA Section 111 User Guide. It is important to understand that CMS is using the carrier/self-insured (or their TPA) claims system reporting […]
July 6, 2020 by Patrick Czuprynski, JD, MSCC, CMSP On 6/29/2020, Medicare issued an update to its NGHP User Guide. The following is a summary of those updates: Chapter III: Policy Guidance Sections 6.4.2, 6.4.3 and 6.4.4 were updated to remind Responsible Reporting Entities(RRE) that the $750 settlement reporting threshold does not apply to liability […]
On April 3, 2012, Government Accountability Office (GAO) released a report – “Medicare Secondary Payer – Additional Steps are Needed to Improve Program Effectiveness for Non-Group Health Plans” – reflecting challenges, workloads, average MSA amounts approved, and more. The full report is available here.
CMS has released a new NGHP Policy and Technical Support teleconference schedule. DATES: February 23, 2012 March 22, 2012 April 24, 2012 May 24, 2012 June 19, 2012 The CMS notice is available here.