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Results: 1-10 of 19

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 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


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


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 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 significantly revises mandatory insurer reporting guidance for NGHP responsible reporting entities
  • Wiley Rein LLP
  • USA
  • February 26 2010

In a Section 111 "town hall" teleconference for Non-Group Health Plans (NGHPs) held on February 25, 2010, the Centers for Medicare & Medicaid Services (CMS) announced major revisions to previously issued guidance for Responsible Reporting Entities (RREs), no doubt welcomed by many self-insured entities but which will impose greater burdens on insurers due to issues of substantial impracticality


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


Section 111 Bulletin: a closer look at Medicare's significant revisions to mandatory insurer reporting guidance for property and casualty insurers
  • Wiley Rein LLP
  • USA
  • March 4 2010

On February 26, 2010, the Centers for Medicare & Medicaid Services (CMS) released Version 3.0 of the MMSEA Section 111 User Guide 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