No new additions to MSPRC procedures have been implemented. However, the moderator did explain the new Conditional Payment Notice alternative, which is only used in two Medicare Lien Situations. Please see Lien Resolution Services’ post of April 14 for more information. Also note that the Conditional Payment Notice does not replace the usual Conditional Payment Letter. It is simply for two specific alternate situations.
Medicare MSPRC Timelines
- First Conditional Payment Letter – 65 days after receipt of the “Rights and Responsibilities” letter;
- Medicare lien disputes – the MSPRC will take up to 60 days to respond;
- Final Lien Demands – the MSPRC will send these within approximately 21 days of a plaintiff’s Notice of Settlement;
- Medicare lien appeals or waivers – from 60 to 120 for a response;
- Reimbursement (following successful appeal) – 10-14 weeks; and,
- Compromises with CMS – approximately 60 days for a response.
No other changes were discussed in the town hall meeting/webinar. MMSEA Section 111 reporting remains permissive until October 1, 2010. All cases settled from that day on must be reported through Mandatory Insurer Reporting starting on January 1, 2011. Although we have begun to see the settlement delays expected due to defendant fears of the MMSEA, those will not take full effect until we approach October. To avoid delays you should prepare your Medicare liens well in advance of settlement. If you need help with any healthcare liens, get it from a lien resolution provider.Ryan J. Weiner Co-Founder Lien Resolution Services www.lienresolutionusa.com https://lienblog.wordpress.com email@example.com