The MSPRC stated schedule for the webinar reads:
New changes have been made to the MSPRC Conditional Payment and Demand Process. This Town Hall Meeting will provide education on the New Conditional Payment Notice and Process, as well as updates on:
- The MSPRC Recovery Process & Timelines
- The Rights and Responsibilities Letter
- Proof of Representation vs. Consent to Release
- What’s new with the MSPRC
Unless changes are made during the Webinar, MSPRC standard procedures include:
- Report to the COBC at (800) 999-1118
- Wait 2-4 days for the COBC to transfer your file to the MSPRC
- Approximately 15 days later, you will receive a “Rights and Responsibilities” letter. This triggers a new timeframe.
- 65 days later you should receive your first Conditional Payment Letter. This is the initial lien amount.
- Every three months the MSPRC claims to review and send new Conditional Payment Letters – this happens, sometimes.
- Audit the payment summary and ICD-9 codes listed. This begins your Medicare “negotiation” process.
- If necessary, dispute these charges with detail in a letter to the MSPRC.
- The MSPRC will review your dispute within 45-60 days. Its response is another Conditional Payment Letter – no reasoning.
- Repeat step 6 (audit the ICD-9 codes), and, if necessary, repeat steps 7-8 as needed.
- Upon settlement, notify the MSPRC of settlement. A Final Lien Demand will arrive in the mail within 21 days.
- You must pay the Final Lien Demand within 60 days of your receipt of it (The MSPRC includes a 5-day buffer for “mail time” in sending the letter).
- If you fail to pay the Final Lien Demand within 60 days, the beneficiary will owe 11.25% per annum interest for that 60 days. Keep in mind a plaintiff’s attorney can be held liable for failure to pay a Medicare lien.
- Within 120 days of the Final Lien Demand, you may appeal the lien amount. The appeal should be answered in 60 days.
- Any successful appeal will lead to reimbursement in a 10-14 week timeframe after the MSPRC agrees to the reimbursement.
Lien Resolution Services will provide any updates to this process after the MSPRC Webinar today. If you need assistance with a lien, you should contact a lien resolution provider. Those services are often billable as a client cost. But keep in mind that those services are meant to save your client money, by reducing liens – so, the client should end up in the positive.Ryan J. Weiner Co-Founder Lien Resolution Services www.lienresolutionusa.com https://lienblog.wordpress.com firstname.lastname@example.org