Ongoing Responsibility for Medicals (ORM)

CMS holds town hall call to discuss NGHP conditional payment recovery issues

On January 14, 2020, the Centers for Medicare and Medicaid Services (CMS) held its widely anticipated town hall call to discuss recovery issues related to the Commercial Repayment Center (CRC) and on-going...

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 trials. Created by CMS...

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...