Category Archives: RRE

An Administratively Closed Claim Does Not Equal ORM Termination

15 Feb 2016 Heather Sanderson No Comments

Blog, Medicare Reporting Section 111, ORM, RRE

In reviewing numerous reporting programs we have found that there is confusion within the industry regarding the proper indicators in which an RRE can terminate Ongoing Responsibility for Medical (ORM) for Section 111 MMSEA reporting. ORM occurs where an RRE has undertaken the legal responsibility to pay for a claimant’s medical treatment or where an RRE is required to pay …
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CMS Improves Information to Better Manage Recoveries

14 Nov 2014 Roy Franco No Comments

Blog, Medicare Reporting Section 111, RRE, Uncategorized

CMS issued a new Technical Alert on November 10, 2014. Click here to read it in its entirety. No action is required by Franco Signor clients. CMS, effective July 1, 2015, will provide RREs with the ability to identify a “Recovery Agent” for conditional payments. To do so, new fields will be added to the MMSEA TIN Reference File, and …
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Blog, Medicare Reporting Section 111, RRE

Jeff Signor- Chief Operations Officer The Office of Inspector General (“OIG”), an entity within the Department of Health and Human Services (“HHS”) has released a Work Plan for Fiscal Year 2013.  This Work Plan sets forth various projects to be addressed during the fiscal year by the Office of Audit Services, Office of Evaluation and Inspections, Office of Investigations, and …
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CMS EXTENDS MANDATORY REPORTING FOR LIABILITY CASES

15 Nov 2010 Roy Franco No Comments

Blog, Medicare Reporting Section 111, ORM, RRE, TPOC

Franco Signor LLC – November 15, 2010 Centers for Medicare and Medicaid Services (CMS) issued new liability reporting rules in an alert on November 9, 2010. Click here for the Alert.  Responsible Reporting Entities (RRE) may now voluntarily report liability settlements, awards and judgments, without penalty, beginning next year. Mandatory liability reporting is now slated to start January 1, 2012, …
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Blog, Medicare Reporting Section 111, RRE

Seger v. Tank Connection, LLC, Docket No. 8:08CV75 (D.Neb. 2010) is less than a few months old but is already having an impact on at least one State Court ruling regarding disclosure to insurance carriers and defendants of plaintiff’s private information. New reporting requirements created by Pub. L. No. 110-73, codified under 42 USC §1395y(b)(8), have established penalties against insurance …
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CMS Issues New Section 111 NGHP User Guide

27 Jul 2010 Roy Franco No Comments

Blog, Medicare Reporting Section 111, Medicare Secondary Payer News, RRE

Version 3.1 of the new NGHP user guide, dated 07/12/2010 was issued this past week by CMS.  Click here for the updated User Guide. Changes from the previously issued version (3.0) may be found at Section 1, starting at page 6. Here are some of the more important highlights for consideration as well as related commentary. 1. Section 7.1 of the …
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Blog, Medicare Reporting Section 111, RRE

Is it really necessary for the Centers of Medicare & Medicare Services (CMS) to require Responsible Reporting Entities (RRE) to collect private information such as Social Security Numbers (SSN) or Health Identification Card Numbers (HICN) from Medicare claimants who file tort claims? While contradictory to the usual Government mantra for its citizens to protect their private information, CMS has now …
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Blog, Medicare Reporting Section 111, RRE

Is a Medicare beneficiary required to respond to legal discovery for Medicare information before a case is resolved through settlement, award, judgment or other payment?  One U.S. District Court out of Nebraska has recently said yes in the case of Gary E. Seger et. al.  vs. Tank Collection, LLC et. al (2010) U.S. Dist. LEXIS 49013.  The ruling no doubt …
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