Commercial Repayment Center (CRC)

1/23/2018 - 1 min read

Government shutdown ends – Congress and President reach deal

This brief government shutdown did not affect Medicare Secondary Payer operations as they are essential and considered part of the Medicare Integrity Program. Thus, operations at the applicable MSP contractors, including the WCRC, CRC and BCRC continued as normal during the shutdown.

1/22/2018 - 1 min read

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 that an increasing number of Social Security Administration offices across the country will not be fulfilling requests for benefits verification by third-parties during the shutdown.

1/19/2018 - 4 min read

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 from CGI Federal to Performant Financial Corporation.

1/11/2018 - 1 min read

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 the transition of the Commercial Repayment Center (CRC) contract to Performant Financial Corporation (Performant) effective February 8, 2018.

12/27/2017 - 1 min read

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 Corporation until February 8, 2018.

12/21/2017 - 3 min read

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).

10/6/2017 - 2 min read

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.

5/22/2017 - 4 min read

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.

5/17/2017 - 5 min read

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.

3/20/2017 - 8 min read

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.

1/23/2017 - 2 min read

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.

3/6/2016 - 3 min read

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 recovery from the Benefits Coordination and Recovery Center (BCRC) to the Commercial Repayment Center (CRC), the CRC has issued more than 33,000 conditional payment letters (CPLs) and new conditional payment notices (CPNs).