Frank Fairchok Rejoins Optum Settlement Solutions

Optum is pleased to announce that Frank Fairchok has recently rejoined the settlement solutions team as vice president of Medicare compliance reporting and development. Frank will be responsible for MedicareConnect, our industry-leading platform for MMSEA Section 111 — Medicare Secondary Payer Mandatory Reporting — for non-group health plans. He will also help drive new product … Read moreFrank Fairchok Rejoins Optum Settlement Solutions

CMS Introduces new Commercial Repayment Center (CRC) Contractor in Transition Webinars

Effective February 8, 2018, a new contractor will assume responsibility of the Commercial Repayment Center (CRC) functions. This includes recoveries where another entity had primary payment responsibility under a Group Health Plan arrangement, as well as conditional payments where CMS is pursuing recovery directly from a liability insurer (including a self-insured entity), no-fault insurer or … Read moreCMS Introduces new Commercial Repayment Center (CRC) Contractor in Transition Webinars

CMS Releases NGHP Section 111 User Guide v5.3

CMS has released an updated NGHP User Guide, version number 5.3. The updates address the new Medicare Beneficiary Identifier (MBI) initiative in the Introduction, Overview and Appendices chapters. As required by the Medicare Access and CHIP (Children’s Health Insurance Program) Reauthorization Act (MACRA) of 2015, CMS will be discontinuing all Social Security Number (SSN) based … Read moreCMS Releases NGHP Section 111 User Guide v5.3

New Commercial Repayment Center (CRC) contract awarded

Performant Financial Corporation announced on October 5, 2017, they were awarded the Medicare Secondary Payer Commercial Repayment Center (CRC) contract by the Centers for Medicare & Medicaid Services (CMS). Performant will succeed CGI Federal, the current contractor. Performant is a leader in the identification and recovery of improper payments in the health care, government and … Read moreNew Commercial Repayment Center (CRC) contract awarded

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