The Official Medicare Set Aside Blog And Information Resource

CMS Town Hall Hints at Future Update and Answers Industry Questions

CMS, CRC, Mandatory Insurer Reporting, Medicare Set-Aside Blog on April 6, 2021
Posted by Shannon Flynn

by Frank Fairchok, Vice President of Medicare Reporting Services As previewed in our blog on February 26, the Centers for Medicare & Medicaid Services (CMS) hosted a town hall meeting that included staff from both the Benefits Coordination & Recovery Center (BCRC) and Commercial Repayment Center (CRC) last Thursday, April 1, 2021.  While the session […] 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

New CRC Contractor: What Are Our First Impressions?

Conditional Payments, CRC, Medicare Set-Aside Blog, MSP News, WCRC on March 20, 2018
Posted by Jean S. Goldstein, JD, CMSP

It’s been over a month since the anticipated transition of the Commercial Repayment Center (CRC) contractor from CGI Federal to Performant Recovery.  Our first impressions have all been positive.  As with all transitions to new government contractors, we of course had some reservations and concerns, but to date are encountering only positive experiences. Some quick […] Continue

Capitol Bridge WCRC Transition Planned for 03/19/18

CMS, CRC, Medicare Set-Aside Blog, Medicare Set-Asides, MSP News, WCRC on March 1, 2018
Posted by Jessica M. Wingenroth, JD

CMS has invited the industry to participate in a Transition Webinar on 03/07/18 at 1:00 PM ET to discuss the transition of the Workers’ Compensation Review Contractor (WCRC) from Provider Resources, Inc. to Capitol Bridge, LLC. Capitol Bridge will assume responsibility of the WCRC contract on 03/19/18. As you may recall from our prior reports, […] Continue