CDR Associates to handle credit recovery efforts for Medicare Advantage claims

Beginning April 3, 2017, CDR Associates will expand its credit recovery efforts to include Blue Cross Blue Shield of Michigan Medicare Advantage claims.

Medicare Plus Blue^SM PPO claims data will be available through the Credit Balance Analysis System, known as CBAS, a web-based tool for providers to submit credit balance recoveries. CBAS links hospitals and Blue Cross for reporting, tracking and resolution of credit balance overpayments on NASCO and IKA.

CDR Associates will conduct claim audits onsite at hospital locations currently partnering with CDR. Claim recoveries will be handled via claim offset in IKA and won’t be via check refund.

Since 1996, Blue Cross has worked with CDR Associates to help manage its commercial credit balance recovery efforts.

Note: Providers may continue to submit a Request for offset of a Medicare Advantage overpayment form directly to Blue Cross Medicare Advantage, using the existing process. This involves identifying the reason for the overpayment of a medical claim paid through IKA. The claim is then adjusted in IKA, resulting in an offset of future claim payments.

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