Ongoing Responsibility for Medicals (ORM)

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...

Risky Business: Five Essential Tips for Section 111 Reporting

Your Section 111 reporting program may seem clear-cut, but it can mean risky business if your team isn’t prepared to avoid the pitfalls of common compliance mistakes. The primary objective of Secti...

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...

Never-ending ORM and what CMS should do about it

The past year has seen tremendous change in Medicare Secondary Payer (MSP) compliance. The Centers for Medicare and Medicaid Services (CMS) introduced rolling recovery to both workers' compensation...

Will it be a Happy CMS New Year?

In the last five years, we’ve seen a lot of challenges for primary payers in the Medicare Secondary Payer (MSP) compliance arena. However, 2015 stands out for having produced more MSP changes than...

Deep Dive: Clinical Trials and Section 111 Reporting

ISO Claims Partners is dedicated to demystifying Section 111 . Today I’d like to take a deep dive into one reporting trigger of Ongoing Responsibility for Medicals (ORM) by exploring clinical trial...

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...