
Medicare Updates: CMS NGHP Beneficiary Recovery Webinar & Medicare conditional payment “round-up”
Written by: Mark Popolizio, J.D., VP of MSP Compliance & Policy Hello All: Hope everyone is well! I wanted to provide you with two new article releases regarding important conditional payment updates as follows: Medicare conditional payment round-up … CMS trends,...
CMS releases updated Medicare Secondary Payer Recovery Portal (MSPRP) user guide (Version 5.0) – updated functionality made to the claims listing interface
By Shawn Johnson The Centers for Medicare and Medicaid Services (CMS) has released an updated Medicare Secondary Payer Recovery Portal (MSPRP) User Guide Version 5.0 (October 5, 2020). This new guide replaces Version 4.9 (July 13, 2020). As part of the...
CMS Releases New WCMSA Reference Guide (Version 3.2)
By Sid Wong and Brian Cowan The Centers for Medicare and Medicaid Services (CMS) has just released its latest version of the WCMSA Reference Guide (Version 3.2, October 5, 2020). This new guide replaces the WCMSA Reference guide version 3.1 (May 11, 2020). Updates...
CMS releases new NGHP Section 111 User Guide (Version 6.0) and updated accepted/excluded ICD code listings
By Heather Sanderson, Mike Gibbon and Jeremy Farquhar The Centers for Medicare and Medicaid Services (CMS) has released an updated Section 111 NGHP User Guide (Version 6.0, October 5, 2020) regarding non-group health plans (liability, no-fault, and workers’...
CMS discusses conditional payment appeal issues on its NGHP Applicable Plans webinar
By Shawn Johnson and Sid Wong On September 24th, the Centers for Medicare and Medicaid Services (CMS) and the Commercial Repayment Center (CRC) held a webinar session to address “redetermination” requests as part of the administrative appeals process regarding...