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…
CMS Rolls Out Updates to NGHP User Guide
Posted on October 22, 2020 by Daniel Anders
Earlier this month CMS released an updated MMSEA Section 111 Medicare Secondary Payer Mandatory Reporting User Guide (Version 6.0). Here are the key updates with analysis and practical implications. Additional Definition of Total Payment Obligation to Claimant (TPOC) Section 6.4…
Enhanced Portal Functionality for Final Conditional Payment Process
Posted on November 10, 2015 by Rita Wilson
In its ‘What’s New’ section, CMS announced on November 9, 2015 that as part of the Strengthening Medicare and Repaying Taxpayers Act of 2012 (the SMART Act), the MSPRP will be modified to include Final Conditional Payment (CP) process functionality…
Medicare Advantage Plans – A New Layer in the Conditional Payment Process?
Posted on November 8, 2012 by Rita Wilson
Over the past few years, much has been written about the mandatory reporting requirements associated with MMSEA Section 111 and the increased interest in ensuring that Medicare is reimbursed for any conditional payments made for a workers’ compensation injury. Unfortunately,…
Town Hall Teleconference Events – February through June, 2012
Posted on February 17, 2012 by Tower MSA Partners
Mandatory Reporting for Liability Insurance (including Self-Insurance), No-Fault Insurance and Worker’s Compensation Implementation of Medicare Secondary Payer Mandatory Reporting Provisions in Section 111 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (See 42 U.S.C. 1395y(b)(8)) The CMS will…
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