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Medicare to issue mandatory insurer reporting guidance on amended complaints, specialty line reporting exceptions, and SMART Act Regulations

  • Wiley Rein LLP
  • -
  • USA
  • -
  • August 1 2013

On Thursday, July 25, 2013, the Centers for Medicare & Medicaid Services (CMS) held a Section 111 Town Hall Teleconference for Non-Group Health Plans

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

Section 111 Bulletin: House introduces Section 111 reform bill--if enacted, would remove SSN reporting obligation, create safe harbor reporting practices and require earlier notice to insurers of final amount owed Medicare

  • Wiley Rein LLP
  • -
  • USA
  • -
  • March 24 2011

On March 14th, Representatives Murphy (R-PA) and Kind (D-WI) introduced H.R. 1063, the Strengthening Medicare and Repaying Taxpayers Act of 2011 (SMART Act), which, if enacted, would implement many insurance industry-requested reforms to Section 111 of the Medicare, Medicaid and SCHIP Extension Act of 2007 (MMSEA

GAO and federal court weigh in on Section 111 infirmities but it's business as usual for CMS during town hall call

  • Wiley Rein LLP
  • -
  • USA
  • -
  • April 27 2012

The most newsworthy Section 111 developments come from a federal District Court that recently declared a legal malpractice insurer not to be a Responsible Reporting Entity (RRE) and the U.S. Da Silva Moore

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

House Committee moves SMART Act forward; Medicare reaffirms position on mandatory insurer reporting under accident & health and short-term travel policies

  • Wiley Rein LLP
  • -
  • USA
  • -
  • September 25 2012

Legislation designed to fix problems with the Medicare Secondary Payer (MSP) process has moved forward in the U.S. House of Representatives while the Centers for Medicare & Medicaid Services (CMS) continues to dig in its heels on its questionable interpretations of existing MSP law

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 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

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

Section 111 bulletin: CMS announces date of "Mass Torts" working group call and addresses RRE questions during policy and technical Town Hall teleconference

  • Wiley Rein LLP
  • -
  • USA
  • -
  • March 11 2011

On March 9th, the Centers for Medicare & Medicaid Services (CMS) held a Town Hall teleconference focusing on both policy and technical questions from non-group health plan insurers (NGHPs) that must report claims payments to Medicare beneficiaries under Section 111 of the Medicare, Medicaid and SCHIP Extension Act of 2007