CMS Announces NGHP Town Hall and Cutting Edge Technologies in Discovering Improper Medicare Payments
Heather Sanderson
July 16, 2015

CMS has announced that it will be holding a NGHP Town Hall on July 28, 2015 from 1-2 PM EST. The announcement states that CMS will discuss the transition of the NGHP recovery workload to the Commercial Repayment Center during its opening comments. After the opening comments, CMS will address technical and policy questions regarding Section 111 Mandatory Insurer Reporting. More details on the Town Hall can be accessed here:  http://www.cms.gov/Medicare/Coordination-of-Benefits-and-Recovery/Mandatory-Insurer-Reporting-For-Non-Group-Health-Plans/Whats-New/Whats-New.html

On a different note, CMS has additionally announced that it has identified or prevented $820 million in inappropriate payments through its Fraud Prevention System. The Fraud Prevention System has provided cutting-edge technology to prevent fraud and protect the Medicare Trust Fund by reviewing questionable billing practices by providers. The announcement can be found here. CMS is clearly using its technologies available to protect the Medicare Trust Fund and one might wonder when Medicare Secondary Payer recoveries will be included in reports like these in the future.