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Updated NGHP User Guide Outlines New Warning Flag for Open ORM Claims

October 2024

Updated NGHP User Guide Outlines New Warning Flag for Open ORM Claims

On October 7th, CMS released Version 7.7 of the MMSEA NGHP User Guide with a few key updates. This iteration adds additional information regarding the steps needed and the emails that are issued during RRE registration, specifically Ch. 1 Table 7-1, Ch. 2 Table 6-4, and Ch. 4 Table 12-1. In general, these tables provide […]

CMS Announces Updates to Section 111 COBSW Portal

August 2024

CMS Announces Updates to Section 111 COBSW Portal

On August 8th, CMS issued an alert confirming that COBSW system updates are coming soon. The Section 111 Coordination of Benefits Secure Website (COBSW) provides general information on Section 111 reporting, links and instructions, reference materials including various user guides, as well as a secure portal which provides the ability to manage your RREs, run […]

CMS Releases NGHP Section 111 User Guide Version 7.4

February 2024

CMS Releases NGHP Section 111 User Guide Version 7.4

CMS has released its first version of the Non-Group Health Plan Section 111 Reporting User Guide of 2024. Not long after a recent informational webinar regarding Civil Monetary Penalties held on January 18, CMS released version 7.4 of the User Guide, in which the primary update is the addition of Ch. III, sect. 5.1 – […]

NGHP Section 111 Reporting CMS Webinar on Civil Monetary Penalties

January 2024

NGHP Section 111 Reporting CMS Webinar on Civil Monetary Penalties

CMS hosted a live webinar on January 18th at 1pm EST.  This webinar provided valuable information for responsible reporting entities (RREs) as the industry prepares for CMS to begin quarterly compliance audits and the imposition of civil monetary penalties.  Please find the highlights of the webinar below and if you have further questions about your Section […]

CMS Announces Webinar Regarding Changes to Section 111 Reporting

October 2023

CMS Announces Webinar Regarding Changes to Section 111 Reporting

CMS has announced that it will be hosting a webinar on November 13th, 2023, regarding a coming expansion to Section 111 reporting. Specifically, the announcement indicates that expansion will involve expanding TPOC reporting to include WCMSA information. The webinar will include a presentation by CMS providing general information and timelines, and should also permit for […]

Overview of the Final Rule on Section 111 Civil Monetary Penalties

October 2023

Overview of the Final Rule on Section 111 Civil Monetary Penalties

CMS has finalized what will arguably be the most significant rulemaking the Medicare Secondary Payer industry has ever had. The final rule specifies how and when Group Health Plan and Non-Group Health Plan reporting entities will be penalized civilly for failure to comply with Section 111 reporting requirements. A high-level outline of the highlights of […]