The Official Medicare Set Aside Blog And Information Resource

Recovery Agent Authorization Model Language

CMS, Conditional Payments, Mandatory Insurer Reporting, Medicare, Medicare Set-Aside Blog on October 18, 2015 | Posted by Erin O'Neill, PA-C, JD

CMS has released model language identifying those elements that must be included in an authorization request for a Recovery Agent representing an Applicable Plan in Medicare Secondary Payer recovery claim activities. All authorization request documents must include the following elements: A statement that the Applicable Plan appoints the Recovery Agent to act on its behalf. […] Continue

CMS’ Second Webinar Regarding Changes to the Non-Group Health Plan Recovery Workload

CMS, Conditional Payments, Mandatory Insurer Reporting, Medicare Set-Aside Blog on September 23, 2015 | Posted by Erin O'Neill, PA-C, JD

On September 17, 2015, CMS held a second webinar outlining the changes in workload processes and procedures in preparation for certain Non-Group Health Plan (NGHP) recovery activity to transition from the Benefits Coordination & Recovery Center (BCRC) to the Commercial Repayment Center (CRC). The material presented was virtually identical to the prior webinar held on […] Continue

Implementation of the Multi-factor Authentication on the Medicare Secondary Payer Recovery Portal

CMS, Conditional Payments, Mandatory Insurer Reporting, Medicare, Medicare Set-Aside Blog on September 10, 2015 | Posted by Erin O'Neill, PA-C, JD

The Centers for Medicare & Medicaid Services (CMS) has implemented the optional Remote Identity Proofing (RIDP)/Multi-factor Authentication (MFA) services on the Medicare Secondary Payer Recovery Portal (MSPRP). These services are part of a new identity management solution provided by CMS as part of the Strengthening Medicare and Repaying Taxpayers (SMART) Act. Today, CMS posted a […] Continue

CMS Webinar Regarding Changes to the Non-Group Health Plan ORM Recovery Process and Workload Scheduled for September 17, 2015 at 2:00pm EST

CMS, Conditional Payments, Mandatory Insurer Reporting, Medicare, Medicare Set-Aside Blog on September 3, 2015 | Posted by Erin O'Neill, PA-C, JD

As indicated during the prior CMS webinar presented on August 25, 2015, CMS will be providing another webinar regarding the upcoming changes to the Non-Group Health Plan (NGHP) Recovery Process and Workload on September 17, 2015 at 2:00 EST. As noted in prior posts, effective October 2015, the Commercial Repayment Center (CRC) will assume the […] Continue

CMS: Medicare Residual Payments for WCMSA Depletion & ORM Termination

CMS, Conditional Payments, Medicare Set-Aside Blog, Medicare Set-Asides on August 13, 2015 | Posted by Erin O'Neill, PA-C, JD

On August 6, 2015, the Centers for Medicare and Medicaid Services (CMS) issued instructions for the Shared Systems and Medicare Administrative Contractors (MACs) to follow when a Medicare Residual Payment must be paid on Workers’ Compensation Medicare Set-Aside Arrangements (WCMSA) or for Ongoing Responsibility of Medicals (ORM) Non-Group Health Plan (NGHP) Medicare Secondary Payer (MSP) […] Continue

CMS Webinar Regarding Changes to the Non-Group Health Plan Recovery Process and Workload Scheduled for August 25, 2015

CMS, Conditional Payments, Mandatory Insurer Reporting, Medicare, Medicare Set-Aside Blog on August 4, 2015 | Posted by Erin O'Neill, PA-C, JD

CMS has announced that a webinar regarding the upcoming changes to the Non-Group Health Plan (NGHP) Recovery Process and Workload will be presented on August 25, 2015 at 2:00 pm EST. As noted in prior posts, effective October 2015, the Commercial Repayment Center (CRC) will assume the responsibility for conditional payment recovery activities in all […] Continue

Changes to the Non-Group Health Plan Recovery Workload

CMS, Conditional Payments, ICD-10, Mandatory Insurer Reporting, Medicare Set-Aside Blog, News and Events on July 1, 2015 | Posted by Erin O'Neill, PA-C, JD

Following the 2013 transition of most Group Health Plan (GHP) recovery activity to the Commercial Repayment Center (CRC), CMS has announced that certain Non-Group Health Plan (NGHP) recovery activity will also be transitioned to the CRC in the near future. Effective October 2015, the CRC will assume the responsibility for conditional payment recovery activities in […] Continue