An Administratively Closed Claim Does Not Equal ORM Termination

In reviewing numerous reporting programs we have found that there is confusion within the industry regarding the proper indicators in which an RRE can terminate Ongoing Responsibility for Medical (ORM) for Section 111 MMSEA reporting. ORM occurs where an RRE has...

CMS Publishes NGHP MMSEA Section 111 User Guide 4.7

Today, July 13, 2015, CMS issued an updated NGHP MMSEA Section User Guide Version 4.7. The updated User Guide can be found here. The updated User Guide formally incorporates changes previously announced by CMS via recent alerts: the acceptance and processing of...