MSP Compliance Blog


Expert summary, analysis and recommendations on issues impacting Medicare Secondary Payer compliance.

CMS to Hold Town Hall on Medicare Conditional Payment Matters

Posted on December 9, 2019 by Tower MSA

The Centers for Medicare and Medicaid Services (CMS) recently announced a town hall “to discuss common Commercial Repayment Center (CRC) NGHP ORM Recovery topics.”  The town hall will be held on Tuesday, January 14, 2020 (There is a typo in CMS’s announcement which lists 2019) at 1:00 PM ET.  The notice can be found here.

When CMS says NGHP, it is referring to Non-Group Health Plans, namely conditional payment recovery in workers’ compensation, liability and no-fault claims.  Further, ORM, refers to the acceptance of Ongoing Responsibility for Medicals which is reported through the Section 111 Mandatory Insurer Reporting in process. 

CMS’s notice provides little detail of what is to be discussed except for stating, “(t)he format will be opening remarks by CMS followed by a brief presentation, and then questions and answers with the audience.”  We encourage anyone involved in Medicare conditional payment recovery, especially in WC and no-fault matters where ORM is regularly reported, to attend the town hall and also be ready with any questions.  You can also submit questions prior to the town hall to COBR-NGHP-Comments@cms.hhs.gov.

Tower will provide a summary and key takeaways from the town hall call after its conclusion.