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Medicare Procedures Update 8/11/10

Medicare’s agent, the MSPRC, has changed procedures so often over the past few years, you may find it hard to keep up.  If you ever have MSPRC-related questions, Lien Resolution Services will assist you.  Here are some updates from the past few weeks:

1.  The MSPRC call center is no longer closed on Fridays.  It had closed the phone lines a few Fridays in June in an attempt to catch up on the 106 day backlog.  According to an MSPRC agent, after just the second close date, it discovered the backlog had increased to 109 days.  It seems this Friday closure was unfruitful.  You can once again call the MSPRC from 8:00 a.m. to 8:00 p.m., Monday through Friday.  If you don’t stay on the MSPRC’s case, your Medicare liens will take 109 days per item (meaning a conditional payment letter will not arrive in your mailbox until 109 days after the MSPRC sends its Rights and Responsibilities letter – probably 130 days in total).

2.  The MSPRC website no longer allows for call backs to be scheduled.  If you call the MSPRC for a Medicare lien, you will wait on hold for 45 minutes.  There is no way to avoid this hold time.  The alternative (to schedule a call back) has disappeared.  Additionally, when you use the MSPRC phone system’s automatic call back feature, you usually will never receive a call back.  So, wait on hold.  Enjoy the music.  And get some work done.

3.  CMS has begun to ask for settlement documents in all compromise situations.  In the past it seemed to depend on which analyst reviewed your requests; however, every compromise submitted by LRS over the past few weeks has been answered with a request for settlement documents.  Remember – a compromise is necessary where Medicare claims more than one-third of the post-costs settlement amount.

If you have any questions regarding lien resolution or require lien resolution and reduction 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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