CMS Issues ANPRM on Penalties for Noncompliance with MMSEA Section 111 Reporting

On December 10, 2013, CMS issued an ANPRM relating to circumstances where civil monetary penalties (CMPs) may be imposed for failure to comply with requirements set forth in Section 111 of the MMSEA. This notice will appear in the December 11, 2013 Federal Register, volume 78, number 238. Organizations or individuals seeking to have commentary … Read moreCMS Issues ANPRM on Penalties for Noncompliance with MMSEA Section 111 Reporting

CMS to Host a MMSEA Section 111 Teleconference on December 17th

CMS has announced that they will be hosting a MMSEA Section 111 teleconference for NGHPs on December 17, 2013 from 1:00-2:00 EST. The notice states the following: The CMS will be hosting a NGHP Policy and Technical Support related teleconference event. For this call the format will be opening remarks and a presentation by CMS, … Read moreCMS to Host a MMSEA Section 111 Teleconference on December 17th

CMS allows TPA information to be provided via Section 111 Reporting

Third Party Administrators (TPAs) are commonly used for various levels of insurance claims handling and processing, including ensuring that settlements are compliant with the MSP Act.  With MIR having been underway for a year, it appears that CMS is beginning to better understand the role that TPAs play in the claim process by their recent … Read moreCMS allows TPA information to be provided via Section 111 Reporting

CMS Issues TIN Reference Response File and Address Validation Alert

On May 17, 2011, the Centers for Medicare & Medicaid Services (CMS) issued a revised alert providing information pertaining to Non-Group Health Plans (NGHP), classified as Responsible Reporting Entities (RREs) under Section 111 of the Medicare, Medicaid and SCHIP Extension Act (MMSEA).

The revised alert provided RREs the following additional information regarding revisions being made to validation of tax identification numbers (TINs) and related name and address information effective October 1, 2011.

Read moreCMS Issues TIN Reference Response File and Address Validation Alert