The Strengthening Medicare and Repaying Taxpayers Act of 2012 (the SMART Act) requires the Centers for Medicare & Medicaid Services (CMS) to publish an annual threshold for recovery in November, each year. This threshold amount reflects an amount for which CMS will not spend more on collections than a claim is likely to yield. On November […] Continue
Recently, the Centers for Medicare & Medicaid Services (CMS) released Version 6.1 of their NGHP MMSEA Section 111 User Guide. Version 6.1 updates included changes to disposition and error codes, as well as the introduction of “soft” errors. More detailed information on these changes is provided below. Continue
The Centers for Medicare & Medicaid Services (CMS) recently announced that it will be hosting a Benefits Coordination & Recover Center Non-Group Health Plan Beneficiary Recovery Process webinar on December 9, 2020 at 1:00 pm ET. The webinar will focus on the Medicare Secondary Payer (MSP) recovery process when a Medicare beneficiary receives a settlement, […] Continue
In follow-up to their September 2020 webinar on Non-Group Health Plan (NGHP) appeals, yesterday the Centers for Medicare & Medicaid Services (CMS) converted the slides from that presentation, publishing them as: Commercial Repayment Center Non-Group Health Plan Applicable Plan Appeal Guide, located under the downloads section of the Insurer NGHP Recovery CMS page. There were […] Continue
On September 23, 2020, the FDA Drug Safety Commission announced that manufacturers of benzodiazepines will be required to update the boxed warning within the prescribing information for these products. Benzodiazepines, a group of medications that includes Ativan (lorazepam), Xanax (alprazolam) and others, are commonly used to treat anxiety disorders, panic disorder, insomnia, certain types of […] Continue