Responsible Reporting Entity (RRE)

With CMS's new requirements in effect, we're thrilled to introduce Verisk's TPOC/WCMSA Resource Center, offering a variety of essential resources.

CMS conducted its second webinar on NGHP Section 111 CMPs, covering various topics related to CMPs for NGHP RREs.

Manage low-dollar workers’ compensation settlements ($25,000 or less) for Medicare beneficiaries under CMS’s updated process.

CMS released an updated Section 111 NGHP User Guide for reporting on non-group health plans: liability, no-fault, and workers' comp.

Reminder for Section 111 NGHP RREs: CMS’s voluntary testing for the new TPOC/WCMSA reporting starts October 7, 2024.

CMS's CMPs final rule becomes “applicable” on October 11^th regarding Section 111 penalties.

How to prepare for CMS’ new TPOC reporting requirements  –  Nutshell resource summary.

Starting April 4, 2025, CMS requires Section 111 RREs to report specific WCMSA data for all Medicare beneficiary settlements in TPOC reporting.

Stay updated on 2024’s key claim trends: Medicare changes, Section 111 penalties, TPOC/WCMSA reporting, MSAs, FROI/SROI, TPLF, and more.

CMS will be holding its second TPOC/WCMSA webinar on April 16th to discuss its plans to use Section 111 TPOC reporting to collect WCMSA data as part NGHP Section 111 reporting.

CMS held a webinar to discuss its plans to require Section 111 (RREs) to report data points related to WCMSAs

CMS has released an updated Section 111 NGHP User Guide (Version 6.2, January 11, 2021) regarding non-group health plans (liability, no-fault, and workers’ compensation).

CMS’ recently released NGHP Section 111 User Guide and Technical alert outline the eventually elimination of the ‘SP31’ error notices and updates to the “soft error” classifications.

On 10/5/20, CMS released an updated Section 111 NGHP User Guide, V. 6.0. They also released updated versions of accepted and excluded ICD-9 and ICD-10 codes for 2021.

On 8/13, CMS held a webinar on Section 111 non-group health plan reporting. The webinar covered NGHP Section 111 reporting best practices and MSPRP enhancements.