The Centers for Medicare and Medicaid Services (CMS) confirmed in a December 12, 2016 Technical Alert that starting on January 1, 2017, the TPOC (Total Payment Obligation to the Claimant) reporting threshold for physical-trauma based liability cases has been decreased from $1,000 to $750. Previously, the $750 threshold was applied to Workers’ Compensation and No-Fault claims (effective October 1, 2016). The WC threshold increased to $750 from $300, and the No-Fault threshold increased to $750 from $0. Notably, there is no TPOC threshold for exposure or ingestion-based liability claims.
Read the full CMS Technical Alert here.