Conditional Payment

Minor changes in newly released Medicare Secondary Payer Recovery Portal User Guide

The Centers for Medicare and Medicaid Services (CMS) has released an updated version of its Medicare Secondary Payer Recovery Portal (MSPRP) User Guide (Version 4.2). The changes are minor and...

CRC Transition Update: Temporary Halt on Recovery Activities

On February 2, 2018, the Centers for Medicare and Medicaid (CMS) issued its latest update regarding the Commercial Repayment Center (CRC) transition from CGI Federal to Performant Financial...

CMS Holds Town Hall Call on CRC Transition - CMS Provides Important Updates on ORM Recovery Transition

On January 18, 2018, the Centers for Medicare and Medicaid (CMS) held its Commercial Repayment Center (CRC) Non-Group Health Plan (NGHP) Town Hall presentation to address the upcoming transition of...

CMS Schedules NGHP CRC Transition Webinar for January 18, 2018

The Centers for Medicare and Medicaid Services (CMS) will be holding a webinar on Thursday, January 18, 2018 at 1:00 PM ET to provide information and details related to the transition of the...

CMS Extends CRC Transition to February 8, 2018

In October 2017, the Centers for Medicare and Medicaid Services (CMS) awarded the Commercial Repayment Center (CRC) contract to Performant Financial Corporation (Performant). The CRC is the...

Performant Awarded CMS Commercial Repayment Center Contract

It was announced on October 5, 2017, that the Centers for Medicare and Medicaid Services (CMS) awarded Performant Financial Corporation (Performant) the Commercial Repayment Center (CRC) contract.

New Ruling: Court Expands upon Its Recent Ruling Limiting CMS Recovery Rights

The court in CIGA v. Price , 2017 WL 1737717 (C.D. California, May 3, 2017) has expanded upon its prior order limiting Medicare’s conditional payment rights. The case has garnered much industry...

Exhaust Administrative Remedies Before Challenging Medicare Conditional Payment Claims

A new case out of Missouri reaffirms this important principle: When challenging Medicare conditional payment claims, parties must exhaust Medicare administrative appeals before filing an action in...