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What Makes a CMS Appeal Successful?, In response to a Medicare conditional payment demand, payers can access a five-level appeals ....

04/07/21 Shawn Johnson and Jeremy Farquhar On April 1st, the Centers for Medicare and Medicare Services (CMS) held what it billed as a Benefits Coordination & Recovery (BCRC) and Commercial Repayment Center (CRC) non-group health plan (NGHP) Town Hall call. Joining CMS on this call were representatives from the BCRC and CRC. CMS's notice for this event indicated that this session was set to “discuss common NGHP topics” regarding Section 111 reporting and NGHP recovery issues. As part of this 75-minute event, CMS touched on several different topics, including the interplay between the BCRC...

03/03/21 The Centers for Medicare and Medicaid Services (CMS) has released a notice announcing that it will be holding a Benefits Coordination & Recovery Center (BCRC) and Commercial Repayment Center (CRC) Non-Group Health Plan (NGHP) town hall on April 1, 2021, at 1:00 p.m. ET. Per CMS's notice, this town hall will “discuss common NGHP topics” and indicates that the panel will entertain questions regarding Section 111 reporting and NGHP recovery issues. CMS's notice states as follows: CMS will be hosting a town hall to discuss common NGHP topics. During this town hall, staff from CMS...