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A Final Rule on Medicare Secondary Payer and Civil Monetary Penalties up to $1000 per day/per claim is Just 1 Year Away: Is Your Claims Organization Prepared?

  • 01/26/22
  • Heather Schwartz Sanderson


On February 18, 2020, the Centers for Medicare & Medicaid Services (CMS) issued a Notice of Proposed Rulemaking (NPRM) regarding scenarios in which Civil Monetary Penalties (CMPs) for noncompliance with MMSEA Section 111 reporting could be issued against Non-Group Health Plans (“NGHPs” to include workers’ compensation, general liability, and no-fault payers/plans, including self-insurance). The comment period closed in April of 2020, and comments submitted in response to ...

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