Category Archives: Medicare Reporting Section 111

Blog, Medicare Conditional Payments, Medicare Reporting Section 111, Medicare Secondary Payer News, Reimbursements

Congratulations to all MARC members!  Yesterday, the Energy & Commerce Health Subcommittee successfully completed “markup” and passage of the SMART Act.  Prior to vote, substitution language was introduced by Congressman Tim Murphy which improved the bill by mandating the use of technology.  The new language replaced notice to Medicare by correspondence that triggered a Conditional Payment Demand Letter with the …
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Medicare Reporting Section 111, Medicare Secondary Payer News

THE COMMITTEE ON ENERGY AND COMMERCE MEMORANDUM September 7, 2012 To: Energy and Commerce Committee Members From: Majority Staff Re: Health Subcommittee Markup, September 11, 2012 On Tuesday, September 11, 2012, at 2:00 p.m. in room 2123 of the Rayburn House Office Building, the Subcommittee on Health will meet in open markup session. A summary of the bills to be considered is below. I. …
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Medicare Reporting Section 111, Medicare Secondary Payer News, TPOC

On June 20, 2012, the CMS issued an alert with a new schedule for reporting of liability TPOC dates and amounts pursuant to Section 111. The new schedule is as follows: Total TPOC Amount TPOC Date On or After Section 111 Reporting Required in the Quarter Beginning TPOCs over $100,000 October 1, 2011 January 1, 2012 TPOCs over $50,000 April …
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Medicare Reporting Section 111, ORM, WCMSA

Katie A. Fox, MSCC – October 21, 2011 The much awaited Version 3.2 of the User Guide was released on August, 17, 2011. The User Guide outlines several changes, but hidden in section 11.8 is a process to manually terminate the ORM status between Section 111 claim detail electronic submissions.  Throughout the industry the subsequent memorandums have gained much publicity, …
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Medicare Set Aside Protocol in the WDNY

06 May 2011 Jeff Signor No Comments

Blog, Medicare Reporting Section 111, Medicare Set Aside, WCMSA

Today I had the honor of presenting on the topic of Medicare Secondary Payor Compliance with Robert Trusiak, Esq, Assistant US Attorney for the Western District of New York.  We presented at the headquarters of the Erie County Bar Association, and the presentation was sponsored by the Western New York Chapter of the Women’s Bar Association.  The protocol is set …
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Blog, Medicare Reporting Section 111, ORM, TPOC

By Katie A. Fox, MSCC Last Friday, the Centers for Medicare & Medicaid Services (CMS) issued an alert extending the mandatory reporting period for Liability cases with a Total Payment Obligation to Claimant (TPOC) only.  We wrote yesterday about the positive effect this would have on the liability industry struggling to get its data systems ready for reporting.   However, the alert also …
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CMS EXTENDS MANDATORY REPORTING FOR LIABILITY CASES

15 Nov 2010 Roy Franco No Comments

Blog, Medicare Reporting Section 111, ORM, RRE, TPOC

Franco Signor LLC – November 15, 2010 Centers for Medicare and Medicaid Services (CMS) issued new liability reporting rules in an alert on November 9, 2010. Click here for the Alert.  Responsible Reporting Entities (RRE) may now voluntarily report liability settlements, awards and judgments, without penalty, beginning next year. Mandatory liability reporting is now slated to start January 1, 2012, …
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Blog, Medicare Reporting Section 111, RRE

Seger v. Tank Connection, LLC, Docket No. 8:08CV75 (D.Neb. 2010) is less than a few months old but is already having an impact on at least one State Court ruling regarding disclosure to insurance carriers and defendants of plaintiff’s private information. New reporting requirements created by Pub. L. No. 110-73, codified under 42 USC §1395y(b)(8), have established penalties against insurance …
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CMS Issues New Section 111 NGHP User Guide

27 Jul 2010 Roy Franco No Comments

Blog, Medicare Reporting Section 111, Medicare Secondary Payer News, RRE

Version 3.1 of the new NGHP user guide, dated 07/12/2010 was issued this past week by CMS.  Click here for the updated User Guide. Changes from the previously issued version (3.0) may be found at Section 1, starting at page 6. Here are some of the more important highlights for consideration as well as related commentary. 1. Section 7.1 of the …
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MARC – Get On Board – Support H.R.#4796 Now!

02 Jun 2010 Roy Franco No Comments

Blog, Medicare Reporting Section 111, Medicare Secondary Payer News

This is your time to stand up and be counted.  MARC needs you to write your Congressional Representatives today to support the Medicare Secondary Payer Enhancement Act.  Why?   Because its the right thing to do. Our Medicare Trust Fund is bleeding red ink and it needs to be fixed.  That’s why Congress enacted the Medicare Secondary Payer Act way back on 12/5/1980 as a method …
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