On October 1, 2018, CMS released an updated Non Group Health Plan (NGHP) User Guide, version number 5.4.
Workers’ compensation, auto personal injury protection (PIP) insurers, commercial premises med pay insurers and all liability insurers continue to struggle with the recovery compliance process concerning the repayment to Medicare conditional payments CMS believes are owed as demanded. The dispute process and challenge to the indebtedness is complex and must include supporting documents such as … Read moreConditional Payment Recovery is not for Wimps
Over the past several years, prescription drug costs related to workers’ compensation claims have risen dramatically, making it increasingly important for claims professionals to carefully evaluate this exposure and mitigate costs when possible. Optum Settlement Solutions understands that keeping up to date on new generic formulations is part of an overall strategic approach to reduce … Read moreRecently Released and Soon to be Released Generics Expected to Reduce Claims Costs
Social Security Numbers (SSN) have been used as the beneficiary identifier for administering the Medicare program since its inception. The Centers for Medicare & Medicaid (CMS) recently introduced the Social Security Number Removal Initiative (SSNRI) to remove the SSN from Medicare Cards. The primary goal of removing the SSN-based Health Insurance Claim Number (HICN) and … Read moreSocial Security Number Removal Initiative