Benefits Coordination & Recovery Center

CMS to host Town Hall Meeting to discuss CRC ORM recovery issues related to NGHP claims

The Centers for Medicare and Medicaid Services (CMS) has announced that it will host a telephonic Town Hall meeting to discuss recovery issues related to the Commercial Repayment Center (CRC) and on-going responsibili...

CMS’s new Section 111 Alert addresses MBI reporting

The Centers for Medicare and Medicaid Services (CMS) has issued an updated Section 111 Alert pertaining to non-group health claims (NGHP) regarding the Medicare Beneficiary Identifier (MBI) reporting.    Through CMS’s...

CRC looks to resolve backload of conditional payment leads

On August 9, 2019, the Commercial Repayment Center (CRC) hosted a conference call to discuss the handling of conditional payment letters (CPL) versus conditional payment notices (CPN). On this call, the CRC announced...

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 compliance comes the resulti...