Tag Archives: TPOC

Section 111: What is Medicare missing?

Workers’ compensation and liability insurance carriers have the obligation to report two essential events if a claim involves a Medicare Beneficiary: Ongoing Responsibility for Medical (ORM) Settlement, judgment, award, or other payment Medicare refers to a settlement, judgment award, or other payment as “Total Payment Obligation to Claimant (TPOC).” These two events require the carrier/self-insured […]

CMS Alert: Liability Mandatory TPOC Timelines and Thresholds Changed!

Attention Liability Insurers (including Self-Insurers) — TPOC Implementation timelines and payment thresholds to claimants have been revised for Section 111 reporting. The NEW mandatory thresholds apply to all Settlements, Judgments, Awards and other payments and supersede the current User Guide, version 3.3 and the TPOC Alert dated September 30, 2011. Click here to review new […]