Section 111 Reporting
7/21/2025 - 11 min read
Medicare Advantage and Part D Plans – How Verisk Can Help
This article highlights key points regarding the Medicare Advantage and Part D programs, their recovery process, and how Verisk can help.
5/7/2025 - 4 min read
CMS Releases Section 111 NGHP User Guide (Version 8.1)
CMS has released an updated Section 111 NGHP User Guide (Version 8.1, May 5, 2025) regarding Section 111 reporting related to non-group health plans.
4/11/2025 - 9 min read
CMS Releases Section 111 NGHP User Guide (Version 8.0) – Breaking Down CMS’s New Updates
CMS has released an updated Section 111 NGHP User Guide (Version 8.0, April 7, 2025) regarding S.111 reporting related to non-group health plans.
3/25/2025 - 1 min read
Verisk’s TPOC/WCMSA Resource Center – Helping You Stay Compliant!
With CMS's new requirements in effect, we're thrilled to introduce Verisk's TPOC/WCMSA Resource Center, offering a variety of essential resources.
3/13/2025 - 18 min read
Section 111 Reporting: CMS’s Road Map to Conditional Payment Recovery
Insurers must understand CMS's use of Section 111 data in the conditional payment recovery process to avoid consequences and liability.
1/8/2025 - 3 min read
CMS Releases Section 111 NGHP User Guide (Version 7.9)
CMS has released an updated Section 111 NGHP User Guide regarding reporting related to NGHPs (liability, no-fault and workers’ compensation).
12/19/2024 - 5 min read
CMS Retains its $750 “Low Dollar” Threshold for 2025
CMS has announced its low-dollar reporting and recovery thresholds for 2025, retaining the current $750 low-dollar threshold for certain cases.
10/28/2024 - 31 min read
CMS Unveils New Webpage Resource for NGHP Section 111 CMPs
CMS introduces two new resources related to NGHP Section 111 civil money penalties (CMPs): the NGHP Civil Money Penalties webpage and the CMPs workflow.
10/11/2024 - 17 min read
CMS Releases Section 111 NGHP User Guide (Version 7.7)
CMS released an updated Section 111 NGHP User Guide for reporting on non-group health plans: liability, no-fault, and workers' comp.
10/1/2024 - 1 min read
CMS to Host Section 111 NGHP CMPs Webinar on October 17th
CMS to host a Section 111 NGHP Section 111 CMP that will include reminders about Final Rule, the auditing process and important dates.
9/25/2024 - 13 min read
Voluntary Testing for TPOC/WCMSA Reporting Starts October 7, 2024
Reminder for Section 111 NGHP RREs: CMS’s voluntary testing for the new TPOC/WCMSA reporting starts October 7, 2024.
9/25/2024 - 8 min read
CMS’s CMPs Final Rule is “Applicable” October 11, 2024
CMS's CMPs final rule becomes “applicable” on October 11th regarding Section 111 penalties.
8/22/2024 - 1 min read
CMS to Host Section 111 NGHP Webinar – September 12th at 1:00 p.m. ET
CMS to host a Section 111 NGHP webinar, featuring reporting best practices and a Q&A session.
7/30/2024 - 5 min read
Spotlight on WCMSAs – Nutshell Resource
How to prepare for CMS’ new TPOC reporting requirements – Nutshell resource summary.
7/30/2024 - 15 min read
Spotlight on WCMSAs - Preparing for CMS' New TPOC Reporting Requirements
Starting April 4, 2025, CMS requires Section 111 RREs to report specific WCMSA data for all Medicare beneficiary settlements in TPOC reporting.