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…
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…
NAMSAP Bulletin Highlights Meeting with CMS on Liability MSA Reviews
Posted on August 16, 2018 by Daniel Anders
Recently, the National Alliance of Medicare Set-Aside Professionals (NAMSAP) released a Special Edition Bulletin providing insight into a meeting between CMS and NAMSAP representatives on the topic of the planned expansion of the Workers’ Compensation MSA review process to liability…
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…
What Do Medicare Part D, Medicare Set-Asides and Parenting Have in Common?
Posted on March 2, 2018 by Rita Wilson
For those who have raised children, or are in the process of doing so, one of our biggest challenges is to instill in our children some sort of positive decision-making paradigm in our children. You can call it religious values,…
CMS Webinar to Introduce New MSA Review Contractor
Posted on March 1, 2018 by Daniel Anders
Effective March 19, 2018, Capitol Bridge, LLC will be taking over responsibilities from Provider Resources as CMS’s Workers Compensation Review Contractor (WCRC). CMS has now announced a webinar set for Wednesday, March 7, 2018 at 1:00 PM ET to introduce…
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…
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