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From DRI Center’s MSP Task Force: CMS Publishes Final Rule on Civil Monetary Penalties

  • Published October 13, 2023
    Modified October 31, 2023

The Centers for Medicare and Medicaid Services (CMS) has finalized and published the rule, for Section 111 reporting, specifying how and when it will calculate and impose civil monetary penalties (CMPs) when Group Health Plan (GHP) and Non-Group Health Plan (NGHP) Responsible Reporting Entities (RREs) fail to meet their Medicare Secondary Payer (MSP) reporting obligations. The text of the Final Rule, as published at 42 CFR 402, can be found here.

The Final Rule will become effective on December 11, 2023.

Read the MSP Task Force's Summary (PDF)