Benefits Coordination & Recovery Center

Conditional payment disputes mired in Medicare appeals backlog

Insurers seeking appeals of adverse conditional payment decisions are finding that their cases are dragging, thanks to a major backlog of pending Medicare appeal requests. The Strengthening Medicar...

Removing Impediments to Settlements: Conditional Payments in Liability Claims

While the Commercial Repayment Center’s (CRC) conditional payment process has received a lot of coverage in the last eight months, its collections apply only to workers' compensation and no-fault...

CMS Releases New Final Rule: Expedited Conditional Payment Process

On May 17, the Centers for Medicare and Medicaid Services (CMS) released its final rule on the SMART Act’s interim conditional payment process through the Federal Register, and insurers will want t...

Top five tips to get a handle on conditional payments

Conditional payments are one of the biggest challenges insurers face when resolving a case with a Medicare beneficiary. The problems that arise include late awareness of Medicare eligibility,...

Medicare Conditional Payment Compliance: Myth vs. Fact

The statutes and regulations that govern Medicare have been referred to by courts as “ the most completely impenetrable texts within human experience .” With the complex nature of Medicare complian...