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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


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


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


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


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


March 16, 2010 town hall teleconference overview: CMS takes stock of its to-do list
  • Wiley Rein LLP
  • USA
  • March 17 2010

On March 16, 2010, the Centers for Medicare & Medicaid Services (CMS) held its monthly teleconference for non-group health plans (NGHPs) that focuses on policy issues related to the implementation of Section 111 of the Medicare, Medicaid, and SCHIP Extension Act of 2007


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