Texas Department of Insurance Issues Letter to CMS Regarding Improper Denials of Payment to Medicare Beneficiaries

On July 31st, the Commissioner of the Division of Workers’ Compensation for the Texas Department of Insurance (TDI), Rod Bordelon, issued a letter to Marilyn Tavenner, the Administrator at CMS regarding CMS improperly denying payment to Medicare beneficiaries. A copy of the letter can be found here. In the letter, Bordelon states that TDI has … Read moreTexas Department of Insurance Issues Letter to CMS Regarding Improper Denials of Payment to Medicare Beneficiaries

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?

CMS Announces ICD-10 Delay for MMSEA Section 111 Reporting

We previously notified our subscribers in a blog that Congress passed a Bill (HR 4302) which included a provision that delayed the implementation and transition to ICD-10 coding until October 1, 2015. As expected, CMS has now released an alert which provides that RREs are to postpone reporting ICD-10 codes until October 1, 2015. The alert … Read moreCMS Announces ICD-10 Delay for MMSEA Section 111 Reporting

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