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August 2021
More PAID Act Updates 9/9
Author: Michelle Allan On September 9, 2021, CMS will host its second informational webinar relative to the PAID Act. Per CMS’ Alert dated August 9, 2021, the webinar “will offer important PAID Act reminders and focus on the details of the upcoming testing period, which will begin on September 13, 2021.” As with the roll-out webinar […]
August 2021
PAID Updates Added to Companion Guide Version 5.7
Author: Michelle Allan In conjunction with other ongoing efforts to notify Responsible Reporting Entities of updates relative to the PAID Act (Provide Accurate Information Directly), CMS has published an updated Benefits Coordination & Recovery Center (BCRC) 270/271 Health Care Eligibility Benefit Inquiry and Response Companion Guide for Mandatory Reporting Non-GHP Entities Version 5.7, accessible here: 270/271 […]
June 2021
Wait for it … Again: LMSA Rules in October?
Author: Michelle Allan, Esq. In yet another push into the future, the Office of Information and Regulatory Affairs (OIRA) Dashboard today indicates that any possible Notice of Proposed Rulemaking regarding Medicare Secondary Payer and Future Medicals (CMS-6047) will not occur until October of 2021, at least. This proposed rule, believed to set possible parameters for Liability and No-Fault […]
June 2021
New Section 111 User Guide Released with PAID Act Information
Author: Logan Pry Two weeks in advance of its PAID Act webinar, CMS has released an updated NGHP Section 111 User Guide. While the latest version contains several updates, the most intriguing and most impactful may be the announcement that the changes to the Medicare entitlement information provided via the Section 111 query process outlined by […]
May 2021
CMS to Debut PAID Act Details in Webinar on June 23rd
Author: Michelle Allan On June 23, 2021, Medicare will debut details relative to the PAID Act (Provide Accurate Information Directly), a new law designed to help Non-Group Health Plan (NGHP) Responsible Reporting Entities (RREs) better coordinate benefits by providing them with Medicare Beneficiary Part C and Part D enrollment information. According to the Alert disseminated today […]
April 2021
This is not a bill: NC District Court addresses ripeness…
Author: Michelle Allan Common Medicare Secondary Payer question: When is a Medicare Conditional Payment due? When the mail delivers anything with CMS letterhead prominent in the top left-hand corner, most payers recognize it needs some attention, particularly given the countless horror stories circulated within the insurance industry associated with failure to reimburse CMS. But there are […]
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