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MSPRC Town Hall Meeting – April 29, 2010 – Wrap Up

Medicare’s MSPRC held a town hall meeting yesterday, April 29, 2010, from 1:oo PM to 3:oo PM Eastern Standard Time.  Lien Resolution Services attended via Webinar.

New Procedures

As with the April 14 town hall meeting, 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.

Additionally, the MSPRC held a short question and answer period:

  • Regarding checks and Medicare lien payments:
    • CMS does NOT require multiparty checks
    • CMS will not make any statements on preferred payment methods
  • Regarding RREs protecting themselves in payment:
    • CMS has seen plaintiff offers of indemnification
    • CMS has seen two check systems (one for the Medicare lien, one for the attorney/client)
  • Regarding Medicare lien disputes:
    • Aggravation of a previous existing injury is related and part of the lien
    • But continuing payments of an injury which was not aggravated are not part of the lien
  • Regarding Conditional Payment Letters:
    • Hospitals, doctors, and other healthcare providers have between 15 and 27 months to send billing to Medicare
  • Regarding implementation of the Conditional Payment Notice procedure:
    • CPNs are not currently used.  They will be used starting as early as mid-June.
    • CPNs will resemble Conditional Payment Letters
    • Only those with consent will receive the CPN
    • If an attorney does not have consent, only the client will receive the CPN
  • Regarding full settlements going to Medicare payments:
    • 42 CFR 411.37 creates a cap on Medicare liens – Medicare is only entitled to the full amount of the settlement minus any reasonable attorney fees and costs
Ryan J. Weiner
Co-Founder Lien Resolution Services
This Blog/Web Site is made available by the publisher for educational purposes only as well as to give you general information and a general understanding of the law, not to provide specific legal advice. By using this blog site you understand that there is no attorney client relationship between you and the Blog/Web Site publisher. The Blog/Web Site should not be used as a substitute for competent legal advice from a licensed professional attorney in your state.

About Ryan J. Weiner

Co-Founder of Lien Resolution Services, LLC, a national healthcare lien resolution firm. Our goal is to assist in the fair administration and resolution of healthcare liens on personal injury cases. Please visit our website for more information: www.lienresolutionusa.com.

One comment on “MSPRC Town Hall Meeting – April 29, 2010 – Wrap Up

  1. […] CMS, the MSPRC, and the COBC have no given any guidance on the payment process.  During the April 29, 2010 Town Hall Meeting/Webinar the MSPRC representative specifically noted that they have not given any specific guidance (and […]

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