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Posts Tagged ‘MSPRC’

This Just In: MSPRC Announces $300 Threshold in Liability Cases

Wednesday, September 7th, 2011

A new alert was posted on the MSPRC.info website on September 6, 2011.  The MSPRC has announced a $300 threshold in liability cases that qualify based on the type of incident and settlement distribution. 

From www.MSPRC.info:

Beneficiary Alert: $300 Threshold on Liability Settlements

Medicare has implemented a $300 threshold for certain Liability Insurance cases. If all of Medicare’s criteria are met, the MSPRC will not recover against the beneficiary’s settlement, judgment, award or other payment.

If you’re a beneficiary, what does this mean for you?

As of September 6, 2011, if you’ve received a lump sum settlement of $300 or less, and your case meets certain conditions, Medicare will not recover from that settlement. These conditions include:

  1. Your settlement is related to an alleged physical trauma-based incident, not an alleged exposure, ingestion, or implantation, and
  2. You do not have any additional settlements related to the same alleged incident.

Please note that this threshold specifically excludes settlements where an insurer is paying your medicals bills directly or on an ongoing basis. This threshold also does not apply if a demand letter was already issued for your case. We have posted a more detailed explanation in the Attorney and Insurer Toolkits.

For more information on the $300 MSPRC Threshold, Medicare Secondary Payer, or any lien resolution issue, feel free to contact Lien Settlement Solutions at info@lienss.com or by phone, (877)907-5436 extension 2. 

We are the Lawyers Solution to Lien Resolution!

MSPRC to Resume Final Demands on 6/27/2011

Tuesday, June 21st, 2011

THIS JUST IN: 

MEDICARE Secondary Payer Final Demand letters will resume on 6/27/2011, according to www.msprc.info.  A review of the Rights & Responsibilities and Final Demand letters are complete. 

From www.MSPRC.info

ALERT UPDATE: Review of the Rights and Responsibilities letter and the Demand Letters is complete

Review of the Rights and Responsibilities letter (“RAR”) and the Demand Letters for liability insurance (including self-insurance), no-fault insurance and workers’ compensation is complete. Issuance of the RAR resumed on June 10, 2011. A copy of the revised RAR is now available on this website. Issuance of the affected Demand letters is anticipated to resume June 27, 2011. Copies of the revised Demand letters will be made available by that time on this website.

For more information on the Final Demand letter, Medicare Secondary Payer, or any lien resolution issue, feel free to contact Lien Settlement Solutions at info@lienss.com or by phone, (877)907-5436

We are the Lawyers Solution to Lien Resolution!

  Read the rest of this entry »

UPDATE: MSPRC to Resume Rights & Responsiblilities Letter June 10th, 2011

Tuesday, May 31st, 2011

May 31, 2011 – MSPRC has issued a new alert regarding Rights & Responsiblilities letters, which will resume startiing June 10, 2011.  Final Demands are suspended until further notice.

From www.msprc.info

ALERT UPDATE: Issuance of the Demand letters is temporarily suspended – Review of the Rights and Responsibilities letter is complete

The Demand letter for liability insurance (including self-insurance), no-fault insurance and workers’ compensation has been temporarily suspended while this letter is under review. The MSPRC is still working cases, and Demand letters will be mailed out once this review is complete. Review of the Rights and Responsibilities letter (“RAR”) is complete. Issuance of the RAR is anticipated to resume on June 10, 2011. A copy of the revised RAR will be made available by that time on this website.

Lien Settlement Solutions will continue to provide updates as soon as new information is received regarding this and any other Medicare Resolution issue.  For more information on how Lien Settlement Solutions can assist your firm, please contact us at info@lienss.com, or by calling (877)907-5436.

New MSPRC Alert Regarding Suspension of Final Demand and RAR Letters

Wednesday, May 25th, 2011

This Just In:

The Medicare Secondary Payer Recovery Contractor has issued an alert on their website, www.msprc.info, notifying of a temprorary suspension of the issuance if Final Demand and Rights and Responsibilities letters. 

“News and Updates

Alert: Issuance of the Rights and Responsibilities (RAR) and Demand letters has been temporarily suspended

Issuance of the Rights and Responsibilities (“RAR”) and Demand letters has been temporarily suspended while these letters are under review. The MSPRC is still working cases, and the RAR and Demand letters will be mailed out once appropriate revisions have been made. ” From www.msprc.info.

Jason D. Lazarus, Esq, CEO of Synergy Settlement Services has written a complete explanation on the MSPRC suspensions, and the recent  Haro v. Sebelius decision in Arizona.  CLICK HERE to learn more about this matter.

Lien Settlement Solutions will continue to provide updates as soon as new information is received regarding this and any other Medicare Resolution issue.  For more information on how Lien Settlement Solutions can assist your firm, please contact us at info@lienss.com, or by calling (877)907-5436.

MMSEA Section 111 Update

Friday, December 3rd, 2010

CMS has posted the following MMSEA Section 111 update on their website  http://www.cms.gov/MandatoryInsRep/04_Whats_New.asp

December 1, 2010

The following documents have been posted to the NGHP Alerts section page:

  • MMSEA 111 – Alert – November 18, 2010 – ALERT: Liability Insurance (Including Self-Insurance), No-Fault Insurance, and Workers’ Compensation – Special Default ICD-9 Code for Responsible Reporting Entities (RREs).
  • MMSEA 111 – Alert – November 18, 2010 – ALERT:  TIN Reference File Address Validation Information for Liability Insurance (Including Self-Insurance), No-Fault Insurance, and Workers’ Compensation Responsible Reporting Entities (RREs).

The following documents have been posted to the GHP Alerts section page:

  • ALERT – November 19, 2010 – New COB MSP Hierarchy Rules or for Group Health Plan (GHP) Responsible Reporting Entities (RREs).
  • ALERT – November 18, 2010 – TIN Reference File Address Validation Information for Group Health Plan (GHP) Responsible Reporting Entities (RREs).

 If you have any questions concerning MMSEA Section 111 or MSP compliance,  please contact Erica Cooper, Manager of Medicare Services and Compliance with Lien Settlement Solutions, LLC. at 877.907.LIEN (5436) or by e-mail at ecooper@lienss.com.

A Timeline for Medicare Lien Resolution with MSPRC

Tuesday, November 2nd, 2010

MSPRC Resolution Timeline*

CMS has revamped the Medicare recovery process, creating a more efficient and less questionable path for the verification of Medicare conditional payments.  Based on a compilation of facts from www.MSPRC.info,  Medicare Correspondence, and daily interaction with MSPRC,  we have created a timeline to a serve as a general guide to the Medicare Resolution Process,  and what can be expected by all parties entering a settlement with a possible Medicare obligation. 

 The following is an approximate timeline for the Medicare recovery process*:

  1. Day 1:  Report to Coordination of Benefits Contractor (COBC) by calling 1(800)999-1118.
  2. Day 2 – 12:  The case is transferred to the Medicare Secondary Payer Contractor (MSPRC) from the COBC within 2 weeks. Read the rest of this entry »

CMS Update- MMSEA Section 111

Monday, October 4th, 2010

CMS has made the following updates to the MMSEA section of the CMS website: http://www.cms.gov/mandatoryinsrep/04_whats_new.asp:

September 30, 2010

  • Posted the September 22, 2010 NGHP Town Hall Teleconference Transcript to the NGHP Transcripts section page.
  • Moved the January 28, 2010 NGHP Town Hall Teleconference Transcript to the Mandatory Insurer Reporting section page under NGHP Transcripts.
  • Moved the May 26, 2009 Alert: Compliance Guidance Regarding Obtaining Individual HICNs and/or SSNs for Group Health Plan from the What’s New section page to the GHP Alerts section page.
  • Moved the August 24, 2009 – HICN, SSN Collection – NGHP Model Language from the What’s New section page to the NGHP section page. Read the rest of this entry »

MSPRC Changes Mailing Address and Fax Number

Friday, October 1st, 2010

The Medicare Secondary Payer Recovery Contractor (MSPRC) has announced changes to their correspondence mailing address and fax number.   The MSPRC Main Number remains the same at 1(866)677-7220.   The following update is directly from the MSPRC website, www.msprc.info. 

* By Mail

Group Health Plan (GHP) Inquiries and Checks (e.g. all GHP checks and inquires including Congressional, FOIA, Bankruptcy and QIC/ALJ)
MSPRC – GHP
P.O. Box 138856
Oklahoma City, OK 73113
 
Non-Group Health Plan (NGHP) Inquiries and Checks (e.g. all NGHP checks and inquires including Liability, No-Fault, Workers Compensation, Congressional, FOIA, Bankruptcy, Liquidation Notices and QIC/ALJ)
MSPRC – NGHP
P.O. Box 138832
Oklahoma City, OK 73113
 
Special Projects (e.g. all Product Liability Case Inquiries and Special Project Checks)
MSPRC – Special Projects
P.O. Box 138868
Oklahoma City, OK 73113

* By Fax

MSPRC Correspondence (On your fax coversheet, please identify your correspondence as GHP or NGHP)

             405-869-3309 

Lien Settlement Solutions can assist with the resolution of Medicare liens and Medicare Compliance issues.  Contact us today for more information on how our Medicare experts can benefit your firm! (877)907-5436 phone, info@lienss.com.

CMS UPDATE- MMSEA Section 111

Tuesday, August 3rd, 2010

CMS has made the following updates to the MMSEA section of the CMS website:

http://www.cms.gov/mandatoryinsrep/04_whats_new.asp?

August 2, 2010

  • Posted the  Revised – July 30, 2010  NGHP Notice and Agenda For 2010 Teleconferences to the NGHP section page.  This document includes all call in information for these teleconferences.
  • Posted MMSEA 111 – July 12, 2010 – Revised – User Guide – Liability Insurance (Including Self-Insurance), No-Fault Insurance and Workers’ Compensation User Guide, Version 3.1 to the NGHP section page.
  • Transitioned the 2009 NGHP audio transcripts to the Mandatory Insurer Reporting section page.
  • Provided an Opportunity to Comment on Section 111 link on the Overview section page in the Related Links Inside CMS section.
  • Transitioned most of the NGHP alerts to the NGHP Alerts section page.

MMSEA Section 111 CMS Update- 07/08/2010

Thursday, July 8th, 2010

CMS has provided the following updates: http://www.cms.gov/mandatoryinsrep/04_whats_new.asp

July 7, 2010 – All of the documents noted below are located in the Downloads area of the respective section page.

GHP Section Page

  • Posted the revised GHP User Guide, V3.1, dated June 25, 2010

GHP Transcripts Section Page