Synergy Blog

New Alerts from Medicare MSP

Medicare MSP has made new changes to their processes effective October 1, 2009. The following updates are from the website:

ALERT – Rights and Responsibilities

Effective for cases established on or after October 1, 2009, the “Right to Recovery Letter” issued when a claim for liability insurance (including self-insurance), no-fault insurance, or workers’ compensation is reported to CMS’ Coordination of Benefits Contractor (COBC) will no longer be issued by the COBC. The letter has been revised, renamed (it is now the “Medicare Secondary Payer Rights and Responsibilities” letter) and will be issued by the MSPRC. Note: If you received a “Right to Recovery Letter” issued by the COBC and dated on or before September 30, 2009, you may follow the instruction in that letter regarding submitting a “Consent to Release” document.

ALERT – Proof of Representation

New information is available on this site regarding “proof of representation” and “consent to release” documentation. Please refer to the PowerPoint presentation titled: “Rules and Model Language for ‘Proof of Representation’ vs. ‘Consent to Release’ for Medicare Secondary Payer Liability Insurance (Including Self-Insurance), No-Fault Insurance, or Workers’ Compensation” as well as the pdf. documents with model language. See under the “Proof of Representation” section below.

ALERT – Interim Conditional Payment

Effective October 1, 2009, the MSPRC will issue information concerning interim conditional payment amounts automatically (that is, without receiving a request for such information) as soon as an interim conditional payment amount is available. If you have an outstanding request for a conditional payment letter (CPL) for a case established prior to October 1, 2009, the request will be processed in the order received. For all new cases, the Medicare beneficiary and any authorized individuals will receive the CPL within 65 days of the issuance of the “Rights and Responsibilities Letter.” Please refer to the discussion in the “Rights and Responsibilities Letter” or the “Rights and Responsibilities Brochure” for further information.

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