Skip to main content

Posts

Featured

Here We Go Again, as New Medicare Contractor Takes Over Reimbursement of Conditional Payments

By: Rafael Gonzalez, Esq., President, Flagship Services Group

After 35 years of seeking reimbursement of conditional payments after settlement, judgment, award, or payment of a case, in 2015, the Centers for Medicare & Medicaid Services (CMS) transitioned a portion of the Non-Group Health Plan (NGHP) Medicare Secondary Payer (MSP) recovery workload from the Benefits Coordination & Recovery Center (BCRC) to its Commercial Repayment Center (CRC). As a result, on October 5, 2015, the CRC assumed responsibility for the recovery of conditional payments where CMS is pursuing recovery directly from a liability insurer (including a self-insured entity), no-fault insurer or workers’ compensation entity, referred to as Applicable Plans (AP), as the identified debtor. Since then, CMS, through a contract with CGI, has been pursuing recovery directly from APs as the identified debtor when an applicable plan reports that it has ongoing responsibility for medicals (ORM) or otherwise notifies …

Latest Posts

What is the point?

“Winners Keep Score”

What a week it was?

Lessons On Worker’s Comp: An Overlooked Part Of American Healthcare

Patient Engagement in Workers’ Compensation

Langham's Thoughts on People's Choice at the Comp Laude Awards and Gala

Are We Surprised Congress Helped Further the Opioid Crisis?

Improving Engagement: Breaking Through Information Overload