Conditional Payments / Lien Resolution
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Medicare Issues Group Health Plan (GHP) Defense Reference Guide
by P. Czuprynski Recently, Medicare issued a reference guide associated with conditional payment recovery related to group health plan claims. So, if a person has group health coverage AND Medicare...
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Conditional Payments: Recent Wins
By P. Czuprynski After administrative appeals, IMPAXX recently won two claims associated with conditional payments. In both cases, Adjudicators (ALJ) with the Office of Medicare Hearing and Appeals determined Medicare...
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Medicare Secondary Payer Recovery Portal “Go Paperless” Webinar Highlights
By P. Czuprynski The Centers for Medicare & Medicaid Services (CMS) hosted a webinar to discuss its option for carriers, self-insureds, or their recovery agents to obtain service of conditional...
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CMS Allows Payment of MSP Recovery Debts Via ACH
The Centers for Medicare & Medicaid Services (CMS) recently announced that Non-Group Health Plan (NGHP) and Group Health Plan (GHP) Medicare Secondary Payer (MSP) recovery debts may be paid...
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Conditional Payments: Is Medicare’s Reopen Process Right For You? Which Regulation Can Medicare Ignore?
On November 17, 2016, Medicare states the following during a townhall presentation, click here for link to transcript. As many of you may be aware the CRC systematically filters all...