Conditional Payments

Countdown to “Full and Final” Settlements: Arizona S.B. 1332

The recent passage of Arizona Senate Bill (S.B.) 1332 provides Arizona claims payers with unprecedented opportunity, finally, to close out their workers’ compensation claims. Under this new law, parties will now be able to reach “full and final” settlement of certain workers’ compensation claims beginning October 31, 2017.

New Realities: The Section 111 Connection to Conditional Payments and Claim Outcomes

Section 111 reporting historically has been viewed as an abstract technical Medicare compliance obligation and the responsibility of an IT department, because it involves the electronic transmissio...

CMS Releases Updated Reporting and Recovery Thresholds with News on TPOCs

The Centers for Medicare and Medicaid Services (CMS) has released its latest alert regarding its low-dollar reporting and recovery thresholds pertaining to liability (including self-insurance),...

CMS to Hold Town Hall Call on November 17

The Centers for Medicare and Medicaid Services (CMS) will conduct a Town Hall Teleconference November 17, 2016 (1:00 p.m. – 2:30 p.m. EST) to address numerous liability insurance (including...

CMS Updates Medicare Secondary Payer Recovery Portal

On October 11, 2016, the Centers for Medicare and Medicaid Services (CMS) released a new, updated version of the Medicare Secondary Payer Recovery Portal (MSPRP) User Guide. As many of our readers...

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,...

Unique Solutions to 2016 Industry Challenges

Insurers are facing tough challenges in 2016 and ISO Claims Partners is working with you to meet these challenges in unique ways. As the industry confronts greater pressures to reduce expenses and...