Document Category:
State: District of Columbia
Subject Matter: CMS ALERT Medicare Secondary Payer Mandatory Reporting Provisions in Section 111 of the Medicare Medicaid and SCHIP Extension Act of 2007 See 42 U.S.C. 1395yb7&b8
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ALERT
Revised Implementation Timeline for TPOC Liability Insurance (Including Self-Insurance) Settlements, Judgments, Awards or Other Payments
Extension of Current Dollar Thresholds for Liability Insurance    (Including Self-Insurance) and Workers’ Compensation
I. Revised Implementation Timeline for TPOC Liability Insurance (Including Self-Insurance) Settlements, Judgments, Awards or Other Payments
The required submission of liability insurance (including self-insurance) initial claim reports has been changed from the first calendar quarter of 2011 to the first calendar quarter of 2012 for all liability insurance (including self-insurance) TPOC amounts with no ORM involvement. Liability insurance (including self-insurance) ORM reporting is not subject to this delay.
Liability insurance (including self-insurance) TPOCs must be reported if the TPOC Date is on or after 10/1/2011.
•    The current rule requiring reporting of NGHP TPOC Dates of 10/1/2010 has been changed to 10/1/2011 but only for liability insurance (including self-insurance) TPOCs.
•    The reporting date requirements for TPOC Dates of 10/1/2010 and subsequent associated with no-fault insurance or workers’ compensation claims remain unchanged.
•    The reporting date requirements as documented in the User Guide for all NGHP ORM remain unchanged.
•    Initial Claim Input Files for reportable claims are still due during the RRE’s assigned file submission timeframe for the first calendar quarter of 2011. RREs that have reportable claims must commence production reporting in first calendar quarter 2011 and then include liability insurance (including self-insurance) TPOC reporting in the first calendar quarter of 2012 for TPOC Dates of 10/1/2011 and subsequent.


Document Author: CMS
Firm/Company: CMS
Document Date: January 1, 1970
Search Tags: liens medicare MMSEA
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