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CMS dodges tough questions regarding Medicare benefit denials and perpetuates confusion over reportable amounts during recent Section 111 town hall teleconference
  • Wiley Rein LLP
  • USA
  • November 28 2011

The Centers for Medicare & Medicaid Services (CMS) faced an increasingly frustrated group of liability insurers during its November 16, 2011 Town Hall teleconference for Non-Group Health Plans (NGHPs) on technical issues associated with insurer reporting under Section 111 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (Section 111


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


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 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


First Section 111 Town Hall of 2012 highlights need for further clarification of reporting responsibilities and frustration over improper claim denials for which insurers are taking the heat
  • Wiley Rein LLP
  • USA
  • February 29 2012

On February 24, 2012, the Centers for Medicare & Medicaid Services (CMS) held the first Section 111 Town Hall Teleconference of the year for Non-Group Health Plans (NGHPs


Section 111 bulletin: June 10 CMS teleconference draws many questions on new direct data entry reporting option
  • Wiley Rein LLP
  • USA
  • June 11 2010

On June 10, 2010, the Centers for Medicare & Medicaid Services (CMS) held its monthly "town hall" teleconference for Non-Group Health Plans (NGHPs) focusing on technical issues related to implementation of the mandatory insurer reporting requirements of Section 111 of the Medicare, Medicaid, and SCHIP Extension Act of 2007


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 reporting apparently delayed for "certain" payments
  • Wiley Rein LLP
  • USA
  • September 30 2011

The Centers for Medicare & Medicaid Services has, apparently, again delayed mandatory insurer reporting under Section 111 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (MMSEA) for "certain" liability insurance (including self-insurance) settlements, judgments, awards, or other payments


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