CMS Releases NGHP Section 111 User Guide v5.2

CMS has released an updated NGHP User Guide, version number 5.2. The update clarifies MIR Section 111 reporting thresholds initially addressed in a published alert by CMS Financial Services Group posted to the Non-Group Health Plan Recovery site on November 15, 2016 entitled “2017 Recovery Thresholds for Certain Liability Insurance, No-Fault Insurance, and Workers’ Compensation … Read moreCMS Releases NGHP Section 111 User Guide v5.2

Bid for WCRC with LMSA Capabilities Delayed by CMS

Earlier this year, the Centers for Medicare and Medicaid Services (CMS) solicited bids in an RFP for a Workers’ Compensation Review Contractor (WCRC) to review workers’ compensation Medicare Set Aside (WCMSA) proposals, which potentially include liability Medicare Set Asides (LMSAs). The bid was to be released on September 22, 2016, but has been delayed. When … Read moreBid for WCRC with LMSA Capabilities Delayed by CMS

Major Changes to Conditional Payment Reimbursement Process for Entities that Have Accepted ORM

As those of you who follow us regularly on this blog know, on August 5, 2015, we anticipated that after the Center for Medicare and Medicaid Services (CMS)’ announcement of the transition to the Commercial Repayment  Center (CRC) for reimbursement of conditional payments (CP) directly from applicable plans (AP) who have accepted ongoing responsibility for … Read moreMajor Changes to Conditional Payment Reimbursement Process for Entities that Have Accepted ORM

After Transition to Commercial Recovery Center, Business as Usual? Or Are Changes Coming?

Post by Rafael Gonzalez, Esq. Vice President, Strategic Solutions, Helios On July 29, 2015, the Centers for Medicare and Medicaid Services, Office of Financial Management, Financial Services Group (CMS) announced that on Tuesday, August 25, 2015 at 2:00 PM EST, it will hold a webinar on the new role of the Commercial Repayment Center (CRC) … Read moreAfter Transition to Commercial Recovery Center, Business as Usual? Or Are Changes Coming?

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