Blog Section 111 Reporting, CMS Updates Brendon De Souza 1/18/24 Section 111 Reporting, CMS Updates Brendon De Souza 1/18/24 CMS Hosts Q&A Webinar Regarding Civil Money Penalties for Non-Compliant Section 111 Reporting Read More Conditional Payments, CMS Updates Kayla Pigeon 1/10/24 Conditional Payments, CMS Updates Kayla Pigeon 1/10/24 The Two-Year Anniversary of the PAID Act Part 1 of 2: Observations in 2023 Read More Section 111 Reporting, CMS Updates Gerardo Sanchez 12/21/23 Section 111 Reporting, CMS Updates Gerardo Sanchez 12/21/23 CMS Provides an Update on Civil Money Penalties: Adjusted Penalties Are Now a Maximum Penalty of $1428 per claim/per day; CMS also Adds Updates on Minor Technical Error Corrections Read More Section 111 Reporting, Medicare Set-Asides, CMS Updates Heather Sanderson 12/20/23 Section 111 Reporting, Medicare Set-Asides, CMS Updates Heather Sanderson 12/20/23 Medicare is Ramping Up Enforcement of the Medicare Secondary Payer Act: Work Comp Payers will Now be Required to Report Medicare Set-Asides to CMS Read More Medicare Set-Asides, CMS Updates Brendon De Souza 12/11/23 Medicare Set-Asides, CMS Updates Brendon De Souza 12/11/23 Zero Medicare Set-Aside (MSA) Allocations: Recent 2023 Updates and Recommendations on Fully Denied/Completed Treatment Workers’ Compensation Claims Read More Section 111 Reporting, Medicare Set-Asides, CMS Updates Kristina Bonanno 12/7/23 Section 111 Reporting, Medicare Set-Asides, CMS Updates Kristina Bonanno 12/7/23 CMS Workers’ Compensation Medicare Set-Aside (WCMSA) Statistics: 2023 Update and Civil Money Penalty Webinar Announcement Read More Section 111 Reporting, Conditional Payments, CMS Updates Heather Sanderson 11/29/23 Section 111 Reporting, Conditional Payments, CMS Updates Heather Sanderson 11/29/23 While Medicare Section 111 Reporting Civil Money Penalties May Not Occur Until Late 2025, Exposure Remains for Unreported Historical Claims/Settlements Read More Section 111 Reporting, Medicare Set-Asides, CMS Updates Brendon De Souza 11/13/23 Section 111 Reporting, Medicare Set-Asides, CMS Updates Brendon De Souza 11/13/23 Exploring CMS's Upcoming WCMSA Reporting Requirements in Workers’ Compensation Settlements Read More Section 111 Reporting, CMS Updates Brendon De Souza 11/3/23 Section 111 Reporting, CMS Updates Brendon De Souza 11/3/23 CMS Publishes FAQ Regarding Final Rule Civil Money Penalties Read More Section 111 Reporting, CMS Updates Kristina Bonanno 10/24/23 Section 111 Reporting, CMS Updates Kristina Bonanno 10/24/23 Q&A from Final Rule for Civil Monetary Penalties for Section 111 Reporting Webinar Read More Section 111 Reporting, Civil Money Penalties, CMS Updates Brendon De Souza 10/4/23 Section 111 Reporting, Civil Money Penalties, CMS Updates Brendon De Souza 10/4/23 Are All Arrows Pointing Towards Imminent Civil Monetary Penalties for Medicare Section 111 Reporting? Read More Medicare Set-Asides, CMS Updates Kristina Bonanno 9/26/23 Medicare Set-Asides, CMS Updates Kristina Bonanno 9/26/23 Contract for WCRC Contractor Capitol Bridge Renewed Read More Conditional Payments, CMS Updates Kayla Pigeon 9/14/23 Conditional Payments, CMS Updates Kayla Pigeon 9/14/23 CMS Implements Increased Fixed Percentage Conditional Payment Option of $10,000 for Liability Settlements Read More Section 111 Reporting, CMS Updates Brendon De Souza 8/8/23 Section 111 Reporting, CMS Updates Brendon De Souza 8/8/23 More Questions Remain – CMS’ August 2023 Update to the NGHP User Guide: ORM Triggers Read More Section 111 Reporting, CMS Updates Kathy Bell 6/6/23 Section 111 Reporting, CMS Updates Kathy Bell 6/6/23 June Update to the NGHP User Guide – Version 7.2 Clarifies Ongoing Responsibility for Medical Medicare Reporting Requirements Read More Medicare Set-Asides, CMS Updates Kristina Bonanno 5/16/23 Medicare Set-Asides, CMS Updates Kristina Bonanno 5/16/23 Updated CMS WCMSA Reference Guide Version 3.9: CMS Removes Maximum Time Limit for Amended Reviews; Provides Clarification for Implantable Devices Read More Conditional Payments, Section 111 Reporting, CMS Updates Kayla Pigeon 5/3/23 Conditional Payments, Section 111 Reporting, CMS Updates Kayla Pigeon 5/3/23 CMS Releases First Formal Non-Group Health Plan (NGHP) Appeals Reference Guide Read More Section 111 Reporting, CMS Updates Brendon De Souza 4/25/23 Section 111 Reporting, CMS Updates Brendon De Souza 4/25/23 April Update to Section 111 Reporting NGHP User Guide: CMS Addresses Subscription Insurance Policy Reporting Read More Conditional Payments, Section 111 Reporting, CMS Updates Brendon De Souza 3/28/23 Conditional Payments, Section 111 Reporting, CMS Updates Brendon De Souza 3/28/23 Medicare Advantage Plan Conditional Payments Post PAID-Act: The Advantages, Continuing Challenges, and Recommendations on Limiting Double Damages Exposure Read More Civil Money Penalties, Section 111 Reporting, CMS Updates Heather Sanderson 2/20/23 Civil Money Penalties, Section 111 Reporting, CMS Updates Heather Sanderson 2/20/23 Final Rule on Medicare Reporting Civil Monetary Penalties Extended 1 Year Until February 2024; CMS Releases Top 10 Section 111 Non-Group Health Plan Reporting Errors Chart Read More Newer Posts Older Posts
Section 111 Reporting, CMS Updates Brendon De Souza 1/18/24 Section 111 Reporting, CMS Updates Brendon De Souza 1/18/24 CMS Hosts Q&A Webinar Regarding Civil Money Penalties for Non-Compliant Section 111 Reporting Read More
Conditional Payments, CMS Updates Kayla Pigeon 1/10/24 Conditional Payments, CMS Updates Kayla Pigeon 1/10/24 The Two-Year Anniversary of the PAID Act Part 1 of 2: Observations in 2023 Read More
Section 111 Reporting, CMS Updates Gerardo Sanchez 12/21/23 Section 111 Reporting, CMS Updates Gerardo Sanchez 12/21/23 CMS Provides an Update on Civil Money Penalties: Adjusted Penalties Are Now a Maximum Penalty of $1428 per claim/per day; CMS also Adds Updates on Minor Technical Error Corrections Read More
Section 111 Reporting, Medicare Set-Asides, CMS Updates Heather Sanderson 12/20/23 Section 111 Reporting, Medicare Set-Asides, CMS Updates Heather Sanderson 12/20/23 Medicare is Ramping Up Enforcement of the Medicare Secondary Payer Act: Work Comp Payers will Now be Required to Report Medicare Set-Asides to CMS Read More
Medicare Set-Asides, CMS Updates Brendon De Souza 12/11/23 Medicare Set-Asides, CMS Updates Brendon De Souza 12/11/23 Zero Medicare Set-Aside (MSA) Allocations: Recent 2023 Updates and Recommendations on Fully Denied/Completed Treatment Workers’ Compensation Claims Read More
Section 111 Reporting, Medicare Set-Asides, CMS Updates Kristina Bonanno 12/7/23 Section 111 Reporting, Medicare Set-Asides, CMS Updates Kristina Bonanno 12/7/23 CMS Workers’ Compensation Medicare Set-Aside (WCMSA) Statistics: 2023 Update and Civil Money Penalty Webinar Announcement Read More
Section 111 Reporting, Conditional Payments, CMS Updates Heather Sanderson 11/29/23 Section 111 Reporting, Conditional Payments, CMS Updates Heather Sanderson 11/29/23 While Medicare Section 111 Reporting Civil Money Penalties May Not Occur Until Late 2025, Exposure Remains for Unreported Historical Claims/Settlements Read More
Section 111 Reporting, Medicare Set-Asides, CMS Updates Brendon De Souza 11/13/23 Section 111 Reporting, Medicare Set-Asides, CMS Updates Brendon De Souza 11/13/23 Exploring CMS's Upcoming WCMSA Reporting Requirements in Workers’ Compensation Settlements Read More
Section 111 Reporting, CMS Updates Brendon De Souza 11/3/23 Section 111 Reporting, CMS Updates Brendon De Souza 11/3/23 CMS Publishes FAQ Regarding Final Rule Civil Money Penalties Read More
Section 111 Reporting, CMS Updates Kristina Bonanno 10/24/23 Section 111 Reporting, CMS Updates Kristina Bonanno 10/24/23 Q&A from Final Rule for Civil Monetary Penalties for Section 111 Reporting Webinar Read More
Section 111 Reporting, Civil Money Penalties, CMS Updates Brendon De Souza 10/4/23 Section 111 Reporting, Civil Money Penalties, CMS Updates Brendon De Souza 10/4/23 Are All Arrows Pointing Towards Imminent Civil Monetary Penalties for Medicare Section 111 Reporting? Read More
Medicare Set-Asides, CMS Updates Kristina Bonanno 9/26/23 Medicare Set-Asides, CMS Updates Kristina Bonanno 9/26/23 Contract for WCRC Contractor Capitol Bridge Renewed Read More
Conditional Payments, CMS Updates Kayla Pigeon 9/14/23 Conditional Payments, CMS Updates Kayla Pigeon 9/14/23 CMS Implements Increased Fixed Percentage Conditional Payment Option of $10,000 for Liability Settlements Read More
Section 111 Reporting, CMS Updates Brendon De Souza 8/8/23 Section 111 Reporting, CMS Updates Brendon De Souza 8/8/23 More Questions Remain – CMS’ August 2023 Update to the NGHP User Guide: ORM Triggers Read More
Section 111 Reporting, CMS Updates Kathy Bell 6/6/23 Section 111 Reporting, CMS Updates Kathy Bell 6/6/23 June Update to the NGHP User Guide – Version 7.2 Clarifies Ongoing Responsibility for Medical Medicare Reporting Requirements Read More
Medicare Set-Asides, CMS Updates Kristina Bonanno 5/16/23 Medicare Set-Asides, CMS Updates Kristina Bonanno 5/16/23 Updated CMS WCMSA Reference Guide Version 3.9: CMS Removes Maximum Time Limit for Amended Reviews; Provides Clarification for Implantable Devices Read More
Conditional Payments, Section 111 Reporting, CMS Updates Kayla Pigeon 5/3/23 Conditional Payments, Section 111 Reporting, CMS Updates Kayla Pigeon 5/3/23 CMS Releases First Formal Non-Group Health Plan (NGHP) Appeals Reference Guide Read More
Section 111 Reporting, CMS Updates Brendon De Souza 4/25/23 Section 111 Reporting, CMS Updates Brendon De Souza 4/25/23 April Update to Section 111 Reporting NGHP User Guide: CMS Addresses Subscription Insurance Policy Reporting Read More
Conditional Payments, Section 111 Reporting, CMS Updates Brendon De Souza 3/28/23 Conditional Payments, Section 111 Reporting, CMS Updates Brendon De Souza 3/28/23 Medicare Advantage Plan Conditional Payments Post PAID-Act: The Advantages, Continuing Challenges, and Recommendations on Limiting Double Damages Exposure Read More
Civil Money Penalties, Section 111 Reporting, CMS Updates Heather Sanderson 2/20/23 Civil Money Penalties, Section 111 Reporting, CMS Updates Heather Sanderson 2/20/23 Final Rule on Medicare Reporting Civil Monetary Penalties Extended 1 Year Until February 2024; CMS Releases Top 10 Section 111 Non-Group Health Plan Reporting Errors Chart Read More