As Medicare Conditional Payment Appeal Rules for Plans/Payers Become Effective 4/28/15, CMS to Host Webinar to Explain New Process and Offer Tips and Suggestions for Plans/Payers

On April 22, 2015, the Centers for Medicare and Medicaid Services Financial Services Group (CMS) published a memo announcing the latest changes on “Appeal Rights for Applicable Plans for Liability Insurance (Including Self-Insurance), No-Fault Insurance, and Workers’ Compensation.” By way of background, the memo indicates that “on February 27, 2015, CMS issued a final rule … Read moreAs Medicare Conditional Payment Appeal Rules for Plans/Payers Become Effective 4/28/15, CMS to Host Webinar to Explain New Process and Offer Tips and Suggestions for Plans/Payers

CMS Issues Alert Regarding Change in Reporting SSNs/HICNs Pursuant to the SMART Act

Just yesterday, September 10, 2014, CMS issued an alert which modifies the requirements relating to the reporting of HICNs and SSNs by NGHP RREs. The alert can be found here. Pursuant to the SMART Act, CMS was required to do the following: “not later than 18 months after the date of enactment of this bill, … Read moreCMS Issues Alert Regarding Change in Reporting SSNs/HICNs Pursuant to the SMART Act

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 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