On Thursday, January 21, 2021 the Centers for Medicare & Medicaid Services (CMS) released an updated Section 111 NGHP User Guide (back-dated to January 11, 2021). While it contained nothing earth-shattering, there are a few important updates of note.
The updated NGHP User Guide also references a plan to discontinue supporting the Connect:Direct protocol for exchange files, as CMS updates their infrastructure. This may apply to some in the industry, but the majority of companies and vendors utilize Secure File Transfer Protocol (SFTP) to exchange files with CMS.
And finally, the updated NGHP User Guide reiterates the already established $750 TPOC Threshold for no-fault, workers’ compensation and physical trauma-based liability settlements. Recall that there is no threshold for liability claims involving ingestion, exposure or implantation.
ECS will continue to closely monitor any Section 111 reporting changes and outline the critical context of those reporting changes to you. Contact us today to learn more about how these changes may impact your claims process, or to learn more about our tailored Section 111 reporting solutions. Our Mandatory Insurer Reporting Team can be reached at MIRService.Support@examworkscompliance.com or 678-222-5454 to schedule an evaluation today.