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Commercial Repayment Center (CRC)

Andy Feliciotti 8cvji48sfty Unsplash
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…

Quino Al 8gweaaxjjti Unsplash
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…

J Kelly Brito Peujyoylfe4 Unsplash
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…

Eric Rothermel 23788 Unsplash
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…

Anastasia Zhenina Dzqkdffa00c Unsplash
December 21, 2017

CMS Releases New Section 111 NGHP User Guide (Version 5.3)

The Centers for Medicare and Medicaid Services (CMS) has released an updated Section 111 non-group health plan (NGHP) User Guide (Version 5.3, December 15, 2017).

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.

Crew 56835 Unsplash
May 22, 2017

New realities: The Section 111 connection to conditional payments and claim outcomes

Section 111 reporting used to be viewed as an abstract technical Medicare compliance obligation & IT's responsibility because of the data transmission.

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.

Agence Olloweb 520914 Unsplash
March 20, 2017

2017 Medicare watch list

It’s clear there will be no shortage of Medicare Secondary Payer developments to keep an eye on this year. Here’s an outline of MSP events to watch in 2017.

Cytonn Photography 604680 Unsplash
January 23, 2017

Clues to CMS future gleaned from WCRC solicitation notice

CMS moved forward with requests for proposals regarding the WCRC contract by releasing a full solicitation notice before the holidays.

Joanna Kosinska 669797 Unsplash
March 6, 2016

Conditional payments update: Thousands of letters and notices issued

In a brief alert issued on February 11, 2016, the Centers for Medicare and Medicaid Services (CMS) announced that since the October transition of conditional payment…

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