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Expert Insight into the Latest News & Updates for Medicare Secondary Payer Compliance
CMS Releases Updated Section 111 User Guide
This week Medicare updated the announcement to better define the scope of the proposal.
“Soft” Edits Debut Today in Section 111 Reporting
Today marks the first significant update in Section 111 reporting logic in several years. In November 2020 the Centers for Medicare and Medicaid Services (CMS)
Joint CMS, BCRC & CRC Conference Call Recap
This week Medicare updated the announcement to better define the scope of the proposal.
Ask Annie: Total Settlement Amount v. Total Payment Obligation to the Claimant
Question: We are settling a workers’ compensation claim with a Medicare beneficiary for $25,000 on a full, final, and complete basis closing out all future
The PAID Act: Offering Hope to Coordinate Medicare Advantage Claims
On December 11, 2020, the MARC Coalition succeeded in its efforts to have Congress enact the Provide Accurate Information Directly (“PAID”) Act, filling a gaping
CMS Announces Joint NGHP Town Hall with CRC and BCRC
The Centers for Medicare & Medicaid Services (CMS) announced on February 25, 2021 an upcoming joint town hall with both The Benefits Coordination & Recovery
Ask Annie: MSAs and the “You Break It, You Buy It” Policy
Question: We are trying to settle a workers’ compensation claim with a Medicare beneficiary for $50,000. The claimant sustained an admitted right shoulder injury. He
CMS Announces Section 111 Technical Updates
On Thursday, January 21, 2021 the Centers for Medicare & Medicaid Services (CMS) released an updated Section 111 NGHP User Guide (back-dated to January 11,
MSA Risk and Reward: Examining “Non-Threshold” Settlements
Here is a sneak peek into this week’s webinar topic. Register here if you haven’t already. First, what is a “Threshold” Settlement? Let’s examine
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