The Official Medicare Set Aside Blog And Information Resource

Highlights from the Benefits Coordination & Recovery Center (BCRC) NGHP Beneficiary Recovery Process Webinar

CMS, Conditional Payments, Medicare Secondary Payer Recovery Portal, Medicare Set-Aside Blog, MSP News on December 21, 2020
Posted by Shannon Flynn

On December 9, the Centers for Medicare & Medicaid Services (CMS) held a webinar focused on the Medicare Secondary Payer (MSP) recovery process when a Medicare beneficiary receives a settlement, judgment, award, or other payment. The Benefits Coordination & Recovery Center (BCRC) presented a refresher on the beneficiary recovery process, including what functions can be […] Continue

New MSP Law Alert: The PAID Act

Conditional Payments, Mandatory Insurer Reporting, Medicare Advantage, Medicare Set-Aside Blog, MSP Litigation, MSP News on December 17, 2020
Posted by Jessica M. Wingenroth, JD

Medicare Advantage Plan and Prescription Drug Plan Information will be Disclosed to Section 111 NGHP RREs Beginning in December 2021 On 12/11/2020, President Trump signed into law H.R. 8900, which made headlines as a one-week continuing resolution (CR), to prevent a government shutdown. However, tucked away within H.R. 8900, the “Further Continuing Appropriations Act, 2021, […] 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

Best Practices for Conditional Payment Appeals and More Questions Answered by the CRC and CMS MSP Operations Team

CMS, Conditional Payments, CRC, Medicare Set-Aside Blog on October 2, 2020
Posted by Jessica M. Wingenroth, JD

Last week representatives from the Commercial Repayment Center (CRC) and Centers for Medicare and Medicaid Services (CMS) Medicare Secondary Payer (MSP) Operations teams hosted a webinar on best practices for conditional payment redetermination requests for Non-Group Health Plan (NGHP) payers. The presentation included a review of the five levels of the Medicare appeals process, the […] Continue