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Medicare/MSPRC Delays Reach 109 Days

Yesterday, July 14, 2010, a Medicare Secondary Payer Recovery Contractor (MSPRC) agent informed LRS that paper correspondence backlogs have reached 109 days.  Unfortunately, this is 44 days longer than the longest time quote given for any MSPRC correspondence and remains a severe detriment to Medicare lien resolution.

Fortunately, Lien Resolution Services has been able to minimize delays.  How do we manage?  Very simply, you must follow-up on all paper correspondence to the MSPRC.  This means that you must call the MSPRC over various intervals throughout the lien resolution process.  At a minimum, phone calls are necessary at the following points:

  1. Two to three weeks after reporting to the COBC.  This ensures that the MSPRC received the file from the COBC.  You can also check to see if your consent forms were processed by the MSPRC.
  2. Thirty days after receipt of the “Rights and Responsibilities” Letter.  In this conversation you will be able to get a time frame of when to expect the Conditional Payment Letter.  The time frame information then allows you to determine when future calls will be necessary.
  3. Approximately one week prior to the 65 day deadline.  Here you can make sure the Medicare lien is being processed – and if it is not, you can steer the MSPRC back on course.
  4. At the 65 day deadline.  If you have not received a Conditional Payment Letter you can at least guarantee receipt of one within three more weeks.  While 86 days is not ideal, it is certainly faster than 109 days (the new MSPRC backlog for paper correspondence).

Without a minimum of these four phone calls you will not receive a Medicare lien on time.  In fact, as noted by the MSPRC yesterday, you will not receive a Medicare lien without first experiencing substantial delays of nearly four months.  Keep in mind that this is just the beginning of the lien resolution process.

If you need lien resolution assistance, please contact us.

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.

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