Summary of Final Rule: Conditional Payment Appeals Process for Applicable Plans

On February 27, 2015, CMS published in the Federal Register the SMART Act Appeal Final Rule which can be located at 80 Fed. Reg. 10611. The rule can be found here and will go into effect on April 28, 2015. CMS had previously issued the Proposed Rule on this very topic on December 27, 2013. Materially, the … Read moreSummary of Final Rule: Conditional Payment Appeals Process for Applicable Plans

CMS to Extend Deadline for Reporting SSNs?

Pursuant to section 204 of the SMART Act, within 18 months of the enactment of the SMART Act (which is July 10, 2014), CMS was required to modify MMSEA Section 111 Reporting Requirements so that an RRE was no longer required to report social security numbers (SSNs) or health insurance  claim numbers (HICNs).  However, within … Read moreCMS to Extend Deadline for Reporting SSNs?

ICD-10 Implementation Delayed until October 1, 2015

Yesterday, the Senate passed HR 4302, the SGR Doc Fix bill that had previously been passed by the House on Thursday, March 27, 2014.  HR 4302 primarily seeks to provide a one-year patch for physician reimbursement rates under Medicare, pushing the effective date past the end of the current congress. Of interest to our clients … Read moreICD-10 Implementation Delayed until October 1, 2015

CMS Clarifies Reporting Threshold for Liability Settlements

On February 19, 2014, we issued a blog notifying subscribers that CMS had issued a Liability Insurance Reporting and Recovery Threshold pursuant to the SMART Act of $1000. On February 28, 2014, CMS issued another alert clarifying that its reporting threshold will be moved from $300 to $1000 for liability claims resolved on/after October 1, 2014. The … Read moreCMS Clarifies Reporting Threshold for Liability Settlements

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