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CMS Maintains $750 Settlement Threshold for Conditional Payment Recovery

CMS has maintained its threshold of $750.00 across all Non-Group Health Plan (NGHP) lines of business to include workers’ compensation, general liability, and no-fault insurance. The threshold means that in scenarios where the Total Payment Obligation to Claimant (TPOC)/settlement amount is $750.00 or less, the claim does not need to be reported and CMS will not require reimbursement of conditional payments. Just last week, CMS announced that the threshold would remain at $750 for the calendar year 2020.

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