Under the SMART Act, CMS is supposed to issues rules specifying "practices for which sanctions will and will not be imposed." In December, 2013, CMS issued an Advanced Notice of Proposed Rulemaking seeking comments on circumstances in which penalties should and should not be imposed. The comment period closed in February, 2014 and since then the industry has been awaiting proposed rules from CMS. After CMS issues proposed rules, the public will be allowed to submit comment
On June 18, 2015, CMS issued an Alert entitled "Modification of Matching Criteria Used When Reporting Partial Social Security Numbers for Liability Insurance (Including Self-Insurance), No Fault Insurance, and Workers’ Compensation." The text of that alert is copied below: New Matching Criteria for Partial SSNs In order to determine if individuals are Medicare beneficiaries, the following information is used: •HICN or SSN •First initial of the first name •First 6 characters
CMS announced today that they have rescheduled the webinar on Applicable Plan Appeal Rights for May 5, 2015 at 1:00 PM EST.
Participats should login here. CMS requests that Participants begin logging in 15 minutes before the start time due to the anticipated large number of participants. #CMS #CMSUpdate #Webinar
On February 2, 2015, CMS issued an updated Section 111 NGHP User Guide incorporating the following language from the August 19, 2014, Alert addressing liability cases involving exposure, ingestion, or implantation and December 5, 1980: Any operative amended complaint (or comparable supplemental pleading) must occur prior to the date of settlement, judgment, award, or other payment and must not have the effect of improperly shifting the burden to Medicare by amending the prior