Aug 6, 2020
The original article was printed in the August issue of CLM Magazine. It was written by Heather Sanderson and Kimberly Vaughn. The industry has speculated for years whether and when the Centers for Medicare & Medicaid Services (CMS) would seek to enforce civil...
Jul 15, 2020
CMS has announced that it will host a Section 111 NGHP Reporting Webinar on August 13, 2020 at 1:00 PM EST. The format of the webinar will include opening remarks by CMS followed by a presentation that will include NGHP Reporting best practices and reminders. The...
Jun 15, 2020
On June 8th, CMS issued an Alert which states the following: This alert serves as a reminder to NGHP Responsible Reporting Entities (RREs) that both Med Pay and Personal Injury Protection (PIP) coverage should be included when reporting the No-Fault Insurance Limit...
May 26, 2020
The Non-Group Health Plan (NGHP) industry (workers’ compensation, liability, and no-fault insurance) has been curious as to what to anticipate now that the Centers for Medicare & Medicaid Services (CMS) is in receipt of comments from the industry regarding the...
Apr 29, 2020
A recent decision out of Rhode Island demonstrates a common dilemma wherein a Non-Group Health Plan (workers’ compensation, liability, or no-fault insurance carrier or self-insured) Responsible Reporting Entity (RRE) is stuck between a rock and a hard place (Medicare...
Mar 9, 2020
As we had blogged about last October, the 9th Circuit in CIGA v. Azar held that CIGA as a Guaranty Fund was not a “primary plan” under the MSP, due to the fact that CIGA pays for medical care only if the insurer is insolvent, and as such the WC claim does not...
