Updates from CMS Regarding NGHP Processes

December 6, 2019

CMS has posted two updates this week:

  1. The Total Payment Obligation to the Claimant (TPOC) threshold for reporting Section 111 claims and for Conditional Payment recovery efforts will remain at $750 for the 2020 calendar year.  The Alert is available here.
  2. CMS will be hosting a town hall meeting on January 14, 2020 at 1pm EST to discuss common Commercial Repayment Center (CRC) Ongoing Responsibility for Medicals (ORM) recovery topics. Complete details for the webinar are available here. Our Section 111 and Conditional Payment subject matter experts will attend and provide a summary with pertinent details immediately following the conclusion of the meeting.