Shawn Deane

On February 2, 2018, CMS issued its latest update regarding the Commercial Repayment Center transition from CGI Federal to Performant Financial Corporation.

Medicare Secondary Payer operations will not be affected as they are essential and considered part of the Medicare Integrity Program. However, were are receiving word that an increasing number of Social Security Administration offices across the country will not be fulfilling requests for benefits verification by third-parties during the shutdown.

On January 18, 2018, CMS held its Commercial Repayment Center Non-Group Health Plan (NGHP) Town Hall presentation to address the upcoming transition of CRC operations from CGI Federal to Performant Financial Corporation.

The Centers for Medicare and Medicaid Services (CMS) will be holding a webinar on Thursday, January 18, 2018 at 1:00 PM ET to provide information and details related to the transition of the Commercial Repayment Center (CRC) contract to Performant Financial Corporation (Performant) effective February 8, 2018.

The Centers for Medicare and Medicaid Services (CMS) is extending the Commercial Repayment Center (CRC) contract transition from CGI Federal to Performant Financial Corporation until February 8, 2018.

The Centers for Medicare and Medicaid Services (CMS) awarded Performant Financial Corporation (Performant) the Commercial Repayment Center (CRC) contract.

RREs will no longer automatically be moved into “discontinued” status if they fail to provide Medicare the requested annual recertification information.

The real question is: What, when, and how is CMS going to step into the liability and no-fault arena and how will it affect claims management?

Your Section 111 reporting program may seem clear-cut, but it can mean risky business if your team isn’t prepared to avoid common compliance mistakes.

The dust is still swirling around the Liability Medicare Set-Aside (LMSA) issue, but a few areas clearly show Medicare’s plan and intended next steps.

On October 11, 2016, the Centers for Medicare and Medicaid Services (CMS) released a new, updated version of the Medicare Secondary Payer Recovery Portal (MSPRP) User Guide.

Insurers seeking appeals of adverse conditional payment decisions are finding that their cases are dragging.

There are two main categories of Medicare compliance: (1) reporting and (2) recovery. Although the law and regulations clearly state what must be done in each category and who must comply, the actual process of compliance can be quite challenging.

Liability claims are particularly at risk, as these emerging compliance issues impose new burdens on the management and settlement of claims.

While liability conditional payments can present some unique challenges, there are effective methods to remove the stumbling blocks to claims resolution.