Timeframe
SMART Act: Final/Conditional Medicare Lien Process
Looking back at yesterday’s SMART Act post it is hard to decipher how to properly obtain what we are calling a “Final Conditional” Amount or Lien. We hope the following workflow (including our assumptions and expectations of the future process) will help: T-120 days to settlement – Send an Expected Settlement Notice to the MSPRC; […]
SMART Act: Is Medicare Lien Resolution Smarter Now?
On January 10, 2013, President Obama signed H.R. 1845. Included on the Medicare IVIG Access Bill is the SMART Act. SMART was designed to reform the conditional payment, final demand, and MMSEA Section 111 reporting processes. Click here to read the full text of H.R. 1845. As you can see below, we aren’t as excited […]
House & Senate Pass Medicare’s SMART Act
Both the House and Senate passed the SMART act prior to the Christmas holiday last week. In the House just 3 “no” votes were cast against 401 “yes” votes. The Senate passed the act without a single “no” vote. There is little doubt that President Obama will sign the bill into law. What is the […]
Medicare Conditional Payment Notices
Yesterday I saw more Conditional Payment Notices from Medicare in one day, than I had the entire month of April. Conditional Payment Notices (“CPNs”) are different than Conditional Payment Letters (“CPLs”), but they should not concern you if you know how to respond. This post will discuss what is a CPN, what do to with […]
MSPRC to Introduce Web Portal in Summer 2012
The MSPRC has announced it will release a web portal for conditional payments much like that used for Workers’ Compensation MSAs. From the MSPRC release: Coming Soon – The Medicare Secondary Payer Recovery Portal A new online Self-Service Tool to help manage your Medicare recovery case. The Centers for Medicare & Medicaid Services (CMS) is […]
Medicare’s Self-Calculated Payment Amount: Pros and Cons
Yesterday we wrote about a new way to resolve Medicare Liens in our post: MSPRC to Offer Pre-Settlement Final Demands. In that post we promised to analyze the pros and cons at a later date. We stick to our promises at Lien Resolution Services. The Benefits of Medicare’s Self-Calculated Payment Amount The most obvious benefit […]
MSPRC to Offer Pre-Settlement Final Demands
The MSPRC recently announced a new option which essentially creates pre-settlement Final Demands for Medicare Liens. From its website: New Option to Self-Calculate Your Conditional Payment Amount On February 21, 2012, the Centers for Medicare & Medicaid Services (CMS) will implement an option that allows certain Medicare beneficiaries to self-calculate Medicare’s final conditional payment amount […]
New MSPRC Procedures on $5,000 Settlements
Direct from the MSPRC website – Medicare liens on $5000 settlements (or less) have a secondary lien resolution option: New Fixed Percentage Option For Medicare’s Recovery Claim The Centers for Medicare & Medicaid Services will be implementing a new and simple fixed percentage option that will be available to certain beneficiaries beginning November 7, 2011. […]
Update: New Medicare RRE Reporting Guidelines
On September 30, 2011 the Centers for Medicare and Medicaid Services (“CMS”) revised its Mandatory Insurer Reporting timelines – again. The difference between this change and the previous revisions and moratoriums is that certain cases must be reported. Which cases? Funny you should ask: The only cases that must be reported are those with total […]
Is There a New MSPRC Contractor on Deck?
Rumors are circulating throughout the Medicare lien world that the current Medicare Secondary Recovery Contractor is being replaced. Chickasaw Nation Industries has acted as the contractor since 2006, but its contract expires at the end of September 2011. The AAJ has also reported on these upcoming changes, including a member-wide email from AAJ President Linda […]
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