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Results: 1-10 of 19

No port in a storm? Crucial safe harbor still in doubt under new Medicare Section 111 reporting requirements
  • Wiley Rein LLP
  • USA
  • November 23 2009

Insurance companies and self-insured businesses that pay liability claims arising from bodily injury to Medicare beneficiaries will start 2010 facing onerous new reporting requirements under Section 111 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (MMSEA


Legislative fix introduced in Congress to Section 111 reporting hurdles; bill also seeks broader MSP reforms
  • Wiley Rein LLP
  • USA
  • March 12 2010

The Medicare Secondary Payer Enhancement Act of 2010 (H.R. 4796) was introduced in the House of Representatives on March 9, 2010 by Congressmen Patrick Murphy (D. Pennsylvania) and Tim Murphy (R. Pennsylvania


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


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


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 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


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