Successful Appeal to CMS ALJ Yields $80K Reduction in Conditional Payments
Posted on March 15, 2023 by Tower MSA Partners
In response to a Medicare conditional payment demand, payers can access a five-level appeals process, including a hearing before a Centers for Medicaid and Medicaid Services (CMS) administrative law judge (ALJ). Most conditional payment demand appeals are resolved at the…
CMS to Hold Webinar on “Go Paperless” Feature in MSPRP
Posted on March 28, 2022 by Daniel Anders
On April 13, 2022, at 1:00 pm ET, the Centers for Medicare and Medicaid Services (CMS) will host a webinar on the “Go Paperless” option in the Medicare Secondary Payer Recovery Portal. The selection of this option will provide for…
CMS Rolls Out ACH Payment Option for Recovery Debts
Posted on February 23, 2022 by Tower MSA Partners
The Centers for Medicare and Medicaid Services now provides ACH payment option for Medicare conditional payment debts. The Centers for Medicare and Medicaid Services (CMS) is now accepting recovery debt (Medicare conditional payment recovery) payments via ACH (Automated Clearing House)…
Questions About Medicare Conditional Payments? Join Our Upcoming Free Webinar
Posted on March 10, 2021 by Tower MSA Partners
When it comes to Medicare conditional payments, we get questions! We’re commonly asked about CMS Medicare conditional payment policies, practices of CMS recovery contractors, the extent of Treasury Department debt recovery and more. It’s important to get the right answers…
CMS to Host Reporting and Medicare Conditional Payment Recovery Town Hall
Posted on March 2, 2021 by Daniel Anders
The Centers for Medicare and Medicaid Services (CMS) recently announced it will be hosting a town hall on April 1, 2021 at 1 pm ET to discuss common Non-Group Health Plan topics. Specifically, representatives from CMS, the Benefits Coordination and…
Medicare Conditional Payment Tune-up
Posted on February 26, 2021 by Tower MSA Partners
Resolving Medicare conditional payments should be standard practice when settling a workers’ compensation or liability claim involving an injured worker who is a Medicare beneficiary. However, there are still many questions around CMS Medicare conditional payment policies, practices of CMS…
Medicare Conditional Payment Recovery Threshold for 2021
Posted on December 1, 2020 by Daniel Anders
In an 11/25/2020 Alert, the Centers for Medicare and Medicaid Services (CMS) announced that the 2021 conditional payment recovery threshold for liability, no-fault and workers’ compensation settlements will remain at $750. Accordingly, Total Payment Obligations to the Claimant, TPOCs, in the…
November CMS News: Mandatory Reporting and Conditional Payment Updates
Posted on November 24, 2020 by Tower MSA Partners
Here’s a recap of recently announced CMS news: CMS News #1: Medicare Conditional Payment Appeals Guide In follow-up to its September 2020 webinar on Medicare conditional payment appeals through the Commercial Repayment Center (CRC), CMS converted the slides into an…
CMS Provides Notices on Section 111 Reporting and Conditional Payment Processes
Posted on June 17, 2020 by Tower MSA Partners
CMS has recently issued two notices, one pertaining to mandatory Section 111 reporting and one relevant to Medicare conditional payment recovery. First, in a “teaser” notice, CMS announced that on July 13, 2020 the Medicare Secondary Payer Recovery Portal (MSPRP)…
CMS Introduces Pre-CPNs and Open Debt Reports in Conditional Payment Recovery Process
Posted on January 28, 2020 by Tower MSA Partners
On January 14, 2020 CMS held a Town Hall to discuss common Commercial Repayment Center (CRC) NGHP ORM Recovery topics. In attendance on the call were various officials from CMS as well as Performant Recovery the CRC contractor. For the…
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