VISUALIZE | INSIGHTS THAT POWER INNOVATION

Shawn Deane

Shawn Deane is vice president of Medicare / Medicaid compliance and policy at ISO Claims Partners, a Verisk business. You can contact Shawn at sdeane@verisk.com

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February 5, 2018

CRC transition update: Temporary halt on recovery activities

On February 2, 2018, CMS issued its latest update regarding the Commercial Repayment Center transition from CGI Federal to Performant Financial Corporation.

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January 22, 2018

Government shutdown & Medicare Secondary Payer impact

Medicare Secondary Payer operations will not be affected as they are essential and considered part of the Medicare Integrity Program. However, were are receiving word…

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January 19, 2018

CMS holds town hall call on CRC transition - CMS provides important updates on ORM recovery transition

On January 18, 2018, CMS held its Commercial Repayment Center Non-Group Health Plan (NGHP) Town Hall presentation to address the upcoming transition of CRC operations…

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January 11, 2018

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…

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December 27, 2017

CMS extends CRC transition to February 8, 2018

The Centers for Medicare and Medicaid Services (CMS) is extending the Commercial Repayment Center (CRC) contract transition from CGI Federal to Performant Financial…

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October 6, 2017

Performant awarded CMS Commercial Repayment Center contract

The Centers for Medicare and Medicaid Services (CMS) awarded Performant Financial Corporation (Performant) the Commercial Repayment Center (CRC) contract.

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July 7, 2017

Medicare Section 111 process change eases one compliance burden

RREs will no longer automatically be moved into “discontinued” status if they fail to provide Medicare the requested annual recertification information.

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June 6, 2017

Fact check time for LMSA/NFMSA developments

The real question is: What, when, and how is CMS going to step into the liability and no-fault arena and how will it affect claims management?

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May 17, 2017

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 common compliance mistakes.

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March 20, 2017

Liability MSAs: What we know and what to expect

The dust is still swirling around the Liability Medicare Set-Aside (LMSA) issue, but a few areas clearly show Medicare’s plan and intended next steps.

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October 19, 2016

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…

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October 10, 2016

Conditional payment disputes mired in Medicare appeals backlog

Insurers seeking appeals of adverse conditional payment decisions are finding that their cases are dragging.

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September 19, 2016

The compliance gap: How you see your compliance vs. how Medicare sees it

There are two main categories of Medicare compliance: (1) reporting and (2) recovery. Although the law and regulations clearly state what must be done in each category…

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August 19, 2016

Preparing for a fundamental compliance shift in liability claims

Liability claims are particularly at risk, as these emerging compliance issues impose new burdens on the management and settlement of claims.

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August 16, 2016

Removing impediments to settlements: Conditional payments in liability claims

While liability conditional payments can present some unique challenges, there are effective methods to remove the stumbling blocks to claims resolution.