August 3rd, 2010
CMS has made the following updates to the MMSEA section of the CMS website:
http://www.cms.gov/mandatoryinsrep/04_whats_new.asp?
August 2, 2010
- Posted the  Revised – July 30, 2010  NGHP Notice and Agenda For 2010 Teleconferences to the NGHP section page.  This document includes all call in information for these teleconferences.
- Posted MMSEA 111 – July 12, 2010 – Revised – User Guide – Liability Insurance (Including Self-Insurance), No-Fault Insurance and Workers’ Compensation User Guide, Version 3.1 to the NGHP section page.
- Transitioned the 2009 NGHP audio transcripts to the Mandatory Insurer Reporting section page.
- Provided an Opportunity to Comment on Section 111 link on the Overview section page in the Related Links Inside CMS section.
- Transitioned most of the NGHP alerts to the NGHPÂ Alerts section page.
Tags: CMS, Compliance, Conditional Payments, Medicare, MMSEA, MSPRC, Reporting
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July 26th, 2010
CMS will be holding an NGHP teleconference on July 28, 2010:
http://www.cms.gov/mandatoryinsrep/04_whats_new.asp?
July 26, 2010
IMPORTANT CALL IN INFORMATION FOR THE JULY 28, 2010 NGHP Teleconference
- NGHPÂ Teleconference Event – July 28, 2010 (Policy and Technical audio conference)
- Call In Line: Â 800-603-1774
- Pass Code: Â Section 111
- Please begin dialing in approximately 20-30 minutes before the call due to the large number of participants.
Tags: CMS, Compliance, Conditional Payments, Medicare, MMSEA, Reporting
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July 14th, 2010
An updated NGHP MMSEA Curriculum has been released by CMS. For more information go to www.cms.hhs.gov.
MMSEA UPDATE from CMS received on 7/14/2010:
The Non-Group Health Plan (NGHP) Computer Based Training (CBT) curriculum has been updated per the NGHP User Guide version 3.0 (see table below for listing of new/updated courses). You will continue to be notified as courses are updated or added. To access the curriculum go to this URL:
http://nhassociates.na5.acrobat.com/nghpuserguidecurriculum/.
 For your convenience, we are also providing a copy of the Non-Group Health Plan (NGHP) Curriculum that contains PDF documents of each course. To access these PDF documents go to this URL: http://nhassociates.na5.acrobat.com/s111nghppdf/. Read the rest of this entry »
Tags: CMS, Compliance, Medicare, MMSEA, Reporting
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July 8th, 2010
CMS has provided the following updates: http://www.cms.gov/mandatoryinsrep/04_whats_new.asp
July 7, 2010 – All of the documents noted below are located in the Downloads area of the respective section page.
GHP Section Page
- Posted the revised GHP User Guide, V3.1, dated June 25, 2010
GHP Transcripts Section Page
Tags: CMS, Compliance, Medicare, MMSEA, MSPRC, Reporting
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June 28th, 2010
There has been some concern and questions regarding the outsourcing of lien resolution and the ability to pass along those costs to the client. There were also questions regarding cases where another lawyer handles a lien resolution issue on a reverse contingency and how fees could be charged.  The bar formed a committee to look at these issues after an ethics opinion request. The committee has issued a new proposed rule (below) that would allow for a lawyer to outsource if it is disclosed in the initial fee contract. The costs come out of the client’s recovery, not the lawyer’s contingent fee. The new rule is not final until approved by the Florida Supreme Court and may be tweaked by the bar through its internal review process in between now and when the Supreme Court reviews it. However, it provides guidance. Read the rest of this entry »
Tags: Florida, Lien Resolution, Lien Settlement Solutions, Opinion, Outsourcing, Subrogation
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June 15th, 2010
Gulf Oil Spill Workers are starting to experience Adverse Health Affects due to Chemical Exposure in Oil Cleanup
As if the Gulf Oil Spill weren’t enough of a disaster, another crisis is beginning to take shape amidst the cleanup effort. Gulf Oil Syndrome (also called Oil Spill Syndrome) is being seen in emergency rooms and mobile health units among cleanup workers, fishermen, and others who are involved in the conservation effort. Chemicals like Benzene, Toulene, Xylene, Naphthalene, Ethylbenzene*, and others are now found in the air, primarily through the burning of oil and the use of chemicals that dissolve or dilute oil. Exposure to light crude oil, burning oil particles, oil spill dispersants, and other chemicals can cause a host of health problems.Â
Some of the milder symptoms include*: Read the rest of this entry »
Tags: asbestos, benzene, Chemical, Exposure, Florida, Liability, Litigation, Louisiana, Mass Tort, Mississippi, Oil Spill, Workers Compensation
Posted in Lien Resolution | 1 Comment »
June 10th, 2010
June 10, 2010
Due to the vast number of documents required for MMSEAÂ 111 implementation and space limitations, the following section pages were created for the inclusion of all MMSEAÂ 111 required documents:
- Mandatory Insurer Reporting Section Page - This section will serve as repository for documents transitioned from the MMSEA 111 section pages. Â All documents transitioned from the various section pages to the Mandatory Insurer Reporting section page, except Alerts, will be noted on the What’s New section page. Read the rest of this entry »
Tags: CMS, Compliance, Medicare, MMSEA, MSPRC, Reporting
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June 10th, 2010
CMS has provided the following updates:Â https://www.cms.gov/MandatoryInsRep/04_Whats_New.asp
June 3, 2010
 •New NGHP Alerts
    ◦Updating Language – May 27, 2010 – Alert For Liability Insurance (Including Self-Insurance), No-Fault Insurance and Workers’ Compensation Responsible Reporting Entities (RREs) – Periodic Workers’ Compensation Payments located on this section page in the Downloads section. Read the rest of this entry »
Tags: CMS, Compliance, Medicare, MMSEA, Reporting
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June 3rd, 2010
Question:Â
Do the VA subrogation rights apply to UM coverage, or do they only apply to the responsible third-party?
Answer:Â
The right of the VA to recovery from UM is not a definite yes or no answer.      Â
When the VA cannot recover:
In researching UM recovery in VA cases, we have to look to the language within the UM plan. According to Government Employees Insurance Co. v. Andujar, 773 F.Supp. 282, it was determined that the ability of the US Read the rest of this entry »
Tags: Ask a Lien Professional, Lien Resolution, Plan Language, Uninsured Motorist, VA
Posted in Ask a Lien Professional, Lien Resolution | No Comments »
June 1st, 2010
CMS has provided the following updates to MMSEA Section 111:
http://www.cms.gov/mandatoryinsrep/04_whats_new.asp?
May 27, 2010
- The following document has been posted to the MMSEA 111 Alerts section page:
- Alert: Â New Direct Data Entry (DDE)Â Option for Liability Insurance (Including Self-Insurance), No-Fault Insurance, and Workers’ Compensation, dated May 25, 2010.
- The following documents have been posted to the NGHP Transcripts section page:
- April 13, 2010 NGHPÂ Town Hall Teleconference Written Transcript
- May 13, 2010 NGHPÂ Town Hall Teleconference Written Transcript
Tags: CMS, Compliance, Medicare, MMSEA, Reporting
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