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…
April 1st Brings Electronic Payment Option to MSPRP
Posted on March 15, 2019 by Tower MSA Partners
In a March 13, 2019 webinar, CMS provided a high-level overview of the electronic payment option to be added to the Medicare Secondary Payer Recovery Portal (MSPRP) effective April 1, 2019. Below are the step-by-step instructions for using this E-Payment…
Enhancements to MSPRP Improve Conditional Payment Processes
Posted on July 27, 2018 by Daniel Anders
Since its introduction six years ago, the Medicare Secondary Payer Recovery Portal (MSPRP) has increasingly become more reliable and useful in communicating to and receiving information from the Medicare conditional payment recovery contractors (BCRC and CRC). Earlier this month, a…
Proposed PAID Act Intends to ID Medicare Part C, Part D and Medicaid Enrollees for Insurers
Posted on June 1, 2018 by Daniel Anders
On 5/18/2018, the Provide Accurate Information Directly Act (or the proposed PAID Act) was introduced in Congress for the purpose of allowing settling parties an easy method to identify if a claimant is enrolled in a Part C or D…
CRC Contractor Change Brings New Team to Medicare Conditional Payment Recovery Efforts
Posted on January 21, 2018 by Daniel Anders
On Thursday, January 18, 2018, the Centers for Medicare and Medicaid Services (CMS) held a webinar to introduce the new Commercial Repayment Center (CRC) contractor, Performant Recovery, and Performant’s management team. This transition to a new contractor is important to…
CMS to Host Webinar on Transition to New CRC Contractor
Posted on January 9, 2018 by Daniel Anders
On Thursday, January 18, 2018, at 1:00 PM ET, the Centers for Medicare and Medicaid Services (CMS) will host a webinar for the purpose of introducing the new Commercial Repayment Center (CRC) contractor to Non-Group Health Plans. The CRC is…
Updated Section 111 User Guide Provides for Transition to MBIs, ORM Termination Defined
Posted on January 3, 2018 by Daniel Anders
Pursuant to the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015, CMS is required to transition all Medicare beneficiaries from the Social Security Number based Health Insurance Claim Numbers (HICNs) to a new identification number called a Medicare Beneficiary…
Don’t Plan to Fail: Best Practices for Addressing Medicare Advantage Plan Reimbursement
Posted on October 25, 2017 by Daniel Anders
Benjamin Franklin must have been contemplating Medicare Advantage Plan reimbursement when he uttered one of his famous lines: “If you fail to plan, you are planning to fail.” Over the past few years Medicare Advantage plans have increasingly been seeking…
New Commercial Repayment Center Contractor on the Horizon; WCRC Contract Protested
Posted on October 9, 2017 by Daniel Anders
A recent press release from the Performant Financial Corporation announced it has been awarded the Commercial Repayment Center (CRC) contract by the Centers for Medicare and Medicaid Services (CMS). Barring a bid protest, we expect a transition to the new…
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