MSPRC ANNOUNCES A NEW SERVICE

Posted on September 29, 2011 02:50 by Mary Knack

On September 23, 2011 the MSPRC announced that it would be adding a Self Service Information Feature to its current Customer Service Line that will provide automated conditional payment information over the telephone. It is scheduled to go live on September 30, 2011. The announcement suggests the advantages of the new telephone feature would be:

  1. The ability to obtain the “most up to date Demand/Conditional Payment amounts and the dates those letters were issued.”
  2. Extended calling hours outside of MSPC hours of operation.
  3. Shorter wait times
  4. Unlimited number case inquires in one phone call.

We find that it raises more questions than it answers. For example:

  1. Does one need a Proof of Representation or Consent to Release in order to access the information?
  2. How would the information be accessed and by whom?
  3. Will the information be “posted” only if a demand letter or a conditional payment letter has been issued?

More information was promised although none has been received to date. We will keep you up to date as we receive the information.


 

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What is all the talk about the Medicare Secondary Payer Statute and the Medicare, Medicaid and SCHIP Extension Act (MMSEA)?  Do you and your clients know what is required of you?  DRI has established a Task Force which is putting together educational and practical tools for DRI members to help make sure that you and your clients are prepared to comply with the requirements imposed by this statute and the regulations. 
 
As a first step, DRI has put together three part webcast to educate you about the statute and regulations, their impact on litigating personal injury claims, the data reporting elements and requirements mandated in the MMSEA, and a final comprehensive educational overview of the statute and the challenges the regulations present.  Each webcast will address a different topic.  They are scheduled for August 26, September 10 and September 17, 2009.  You can register for these webcasts at DRI.org.
 
The Task Force is also preparing a presentation and materials to be made available for SLDOs to use to educate their members, a Best Practices Guide, and working with the Medicare Advocacy Recovery Coalition (MARC) on the national legislative level to try and modify some of the requirements to allow for a more reasonable approach to determining lien payments. 
 
Two articles addressing the statute and regulations have been published in the May and June, 2009 FTD and you should look for more to come.
 
If you would like more information about the DRI MSP Task Force, please contact

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Categories: ERISA

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