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Results: 1-10 of 14

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


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


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


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


Section 111 bulletin: more delays and new query system announced at first Town Hall of new year
  • Wiley Rein LLP
  • USA
  • February 14 2011

On February 9, the Centers for Medicare & Medicaid Services (CMS) held the first Section 111 Town Hall teleconference of 2011


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


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


CMS delays issuance of revised NGHP user guide; new entities to replace COBC and MSPRC
  • Wiley Rein LLP
  • USA
  • June 21 2012

The last-minute cancellation of May's Town Hall Teleconference for Non-Group Health Plans (NGHPs) by the Centers for Medicare & Medicaid Services (CMS) left many wondering about the status of the next version of the NGHP User Guide for insurer reporting under Section 111 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (Section 111), previously slated for release by Memorial Day with guidance anticipated in a number of long outstanding areas, such as mass torts settlements, foreign insurer reporting, the use of broad general releases, and possibly a reporting exception for specialty lines