On January 4, 2019, CMS released an updated Non Group Health Plan (NGHP) User Guide, version number 5.5. Click here to access the updated User Guide. Here is a summary of the updates.
Issue We have observed an increase in notices being provided to workers’ compensation, no-fault auto and premises coverages, liability insurers, and claimants in recent months requesting information so that coordination of benefits (COB) can occur for claimants who are current Medicare beneficiaries. In an effort to get to the bottom of the frequency of these … Read moreMedicare’s Coordination of Benefits Energizes Prescription Part D Plans to Recover Conditional Payments
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