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Results: 1-10 of 14

Medicare narrows required reporting by insurers; Town Hall reveals disconnect with insurers on key questions regarding pre-1980 exposures

  • Wiley Rein LLP
  • -
  • USA
  • -
  • April 15 2013

On April 9, 2013, the Centers for Medicare & Medicaid Services (CMS) held its first Town Hall Teleconference of the year for Non-Group Health Plans

Revised NGHP user guide mandates technical reporting revisions but announces no policy changes

  • Wiley Rein LLP
  • -
  • USA
  • -
  • May 20 2013

On April 22, 2013, the Centers for Medicare & Medicaid Services (CMS) released the first update in almost a year of its User Guide for non-group

The real scoop on the purported insurer duty "to protect Medicare's interest" and pay for future medicals

  • Wiley Rein LLP
  • -
  • USA
  • -
  • June 28 2013

Last month, in an article published in the DRI magazine For the Defense, we wrote that "confusion and misinformation regarding liability insurer

CMS town hall adds to confusion over Section 111 reporting obligations of accident and health insurers; controversy emerges over insurer's "duty to protect medicare's interests"

  • Wiley Rein LLP
  • -
  • USA
  • -
  • April 8 2011

On April 6, 2011, the Centers for Medicare & Medicaid Services (CMS) held a Town Hall teleconference focusing on policy issues related to Non-Group Health Plan (NGHP) mandatory insurer reporting under Section 111 of the Medicare, Medicaid and SCHIP Extension Act of 2007

Congress passes long-awaited reforms to the Medicare secondary payer recovery process, including elimination of SSN reporting, but built-in regulatory delays could postpone insurer relief

  • Wiley Rein LLP
  • -
  • USA
  • -
  • January 4 2013

Both the Senate and the House have passed year-end legislation amending the Medicare Secondary Payer (MSP) statute and reforming the process by which

CMS solicits comments defining obligations to "protect Medicare's interests" when settlement involves "future medicals"

  • Wiley Rein LLP
  • -
  • USA
  • -
  • June 15 2012

Centers for Medicare & Medicaid Services (CMS) has issued an advance notice of proposed rulemaking (ANPRM) soliciting public comments on a regulation proposed to clarify how Medicare enrollees may "protect Medicare's interests" and resolve their Medicare Secondary Payer (MSP) obligations when they receive settlements, judgments, awards, or other payments from insurers related to claims for "future medical care" after the date of settlement

CMS releases revised NGHP user guide but fails to provide expected guidance on important unresolved Section 111 issues

  • Wiley Rein LLP
  • -
  • USA
  • -
  • July 6 2012

On July 3, 2012, the Centers for Medicare & Medicaid Services released version 3.4 of the Medicare, Medicaid and SCHIP Extension Act Section 111 Medicare Secondary Payer Mandatory Reporting Liability Insurance (Including Self- Insurance), No-Fault Insurance and Workers' Compensation User Guide

Medicare and the confusion over insurer reporting

  • Wiley Rein LLP
  • -
  • USA
  • -
  • December 20 2011

The Centers for Medicare & Medicaid Services (CMS) faced an increasingly frustrated group of liability insurers during its Nov. 16, 2011, town hall teleconference for Nongroup Health Plans (NGHPs) on technical issues associated with insurer reporting under Section 111 of the Medicare, Medicaid and State Children's Health Insurance Program (SCHIP) Extension Act of 2007

CMS confirms another delay of Section 111 reporting for "certain" claims payments but major issues remain unsettled

  • Wiley Rein LLP
  • -
  • USA
  • -
  • October 5 2011

On September 30, 2011, the Centers for Medicare & Medicaid Services (CMS) announced another delay, applicable only in limited circumstances, to mandatory insurer reporting under Section 111 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (MMSEA

Section 111 bulletin: CMS solicits industry comments during "Mass Torts" working group call and promises to fast-track guidance

  • Wiley Rein LLP
  • -
  • USA
  • -
  • April 15 2011

On April 14, 2011, the Centers for Medicare & Medicaid Services (CMS) held a conference call with the Section 111 "Mass Torts" working group, comprised primarily of stakeholders from the insurance industry and plaintiffs' counsel