The Official Medicare Set Aside Blog And Information Resource

MEDVAL Announces 111 Reporter

CMS, Compliance, Mandatory Insurer Reporting on December 15, 2020
Posted by Shannon Flynn

Today, MEDVAL announced the launch of their new Section 111 Mandatory Insurer Reporting solution, 111 Reporter, which allows organizations to effectively manage their Section 111 reporting to the Centers for Medicare & Medicaid Services (CMS). Successful Management of Mandatory Insurer Reporting is EssentialThe proactive and successful management of the Section 111 reporting process has never […] Continue

CMS Will Maintain $750 Recovery Threshold for 2021

CMS, Mandatory Insurer Reporting, Medicare Set-Aside Blog, MSP News on November 30, 2020
Posted by Shannon Flynn

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

CMS BCRC to Host Webinar on NGHP Beneficiary Recovery Process

CMS, Conditional Payments, Medicare Set-Aside Blog on November 12, 2020
Posted by Shannon Flynn

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

New CMS Release: Commercial Repayment Center (CRC) Non-Group Health Plan (NGHP) Applicable Plan Appeal Guide

CMS, Conditional Payments, CRC, Medicare Set-Aside Blog on November 3, 2020
Posted by Jessica M. Wingenroth, JD

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