Synergy Blog

Revised CMS NGHP Implementation Timetable – Mandatory Reporting

CMS has provided an updated implementation timeline for MMSEA Section 111 reporting: http://www.cms.hhs.gov/MandatoryInsRep/01_Overview.asp#TopOfPage

  • 05/01/2009
    • Electronic registration via the Section 111 COBSW began for all liability insurance (including self- insurance), no-fault insurance and workers’ compensation RREs (NGHP RREs) excluding foreign RREs.
  • 07/01/2009
    • Test and production Query Input Files accepted for NGHP RREs that completed registration and are in a testing status (the RRE’s signed Profile Report has been received by the COBC).
  • 01/01/2010 – 12/31/2010
    • Claim Input File testing period for all NGHP RREs.
  • 04/05/2010
    • Electronic registration commences via the Section 111 COBSW for foreign NGHP RREs (those that are based in countries outside the United States and have no Internal Revenue Service-assigned tax identification number and/or US mailing address).
  • 01/01/2011 – 03/31/2011
    • All NGHP RREs must submit initial Section 111 Claim Input production files to the COBC according to assigned file submission timeframes for their RRE IDs.
  • 04/01/2011
    • All NGHP RREs must be reporting production Claim Input Files on a quarterly basis by this date.

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Tom L. Copeland
Jeffrey Meldon & Associates, P.A.

"I recently engaged Synergy to assist with a complicated PTD settlement involving a substantial Medicare Set Aside. The claimant’s wife has been providing full time attendant care which is not Medicare covered. The Synergy nurse was able to do a full analysis of non-Medicare covered expenses which far exceeded the value of the MSA analysis performed by the carrier’s contracted MSA provider. The non- Medicare figures became the main focus of the settlement negotiations and more than doubled the value of the case. Although I could estimate the attendant care figures, the nurse added in other items that I would not have routinely considered. I also asked Synergy to evaluate the EC’s MSA as well as their prescription review. Synergy offered insight about the prescription donut hole which I did not have a clear understanding about. Again, their insight and information added a great deal of value to the overall settlement. Not only did I learn from Synergy but was able to educate my clients in the process. These are very complex and complicated areas; I will use Synergy again and again!"

Rosemary Eure
Lancaster & Eure

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