The highly anticipated Commercial Repayment Center (CRC) contractor transition from CGI Federal to Performant Recovery was discussed in a CMS Town Hall presentation this afternoon. The stated goal: seamless, painless and efficient transition with zero impact on Coordination of Benefits and Recovery activity. Ted Doyle, the project director of the incoming MSP CRC, assured the estimated 450-460 listeners that Performant has been working with CMS and CGI Federal over the past 100 days, mastering all processes so that they are prepared to take over seamlessly on Monday, February 12, 2018, at 8:00 AM ET.
The CRC “Dark Days” will occur on February 8th and 9th, during which time ALL current case information will be transitioned from CGI Federal to Performant Recovery. This includes a complete correspondence file, case histories and authorizations. Both CMS and Performant representatives pleaded with the industry, advising that they should not resend any correspondence. They explained that duplicative documentation or phone calls to confirm receipt of past correspondence will only impede operations.
During the “Dark Days” transfer of information, the call center will remain open but calls will be limited to relaying information as it existed at the close of business on February 7th. The same is true of the MSPRP, which will be available for viewing but locked for changes, disallowing new uploads. The MSPRP will unlock and be back online under Performant on February 12th.
As of February 12, 2018, at 8:00 AM, the following contact information should be utilized:
Medicare Commercial Repayment Center – NGHP P.O. Box 269003 Oklahoma City, OK 73216
Fax: (844) 315-7627 (new number)
Phone: (855) 798-2627 (maintained as the current CRC Call Center phone number) 8:00 AM – 8:00 PM ET
Timelines for responses to correspondence will not change despite the “Dark Days” period. Payments received during the transition period will be processed beginning February 12th, but retroactively credited to the date payment was actually received.
During the question and answer period, representatives also eluded to the promise of improved communication between the BCRC and CRC post- transition. Specifically, in coordinating recovery on related cases thanks to improved communications between the two systems that the contractors use.
The slide presentation will be posted for download next week.
ABOUT THE AUTHOR
Jessica Wingenroth is a MEDVAL managing attorney responsible for quality control of Medicare Set-Aside allocations. She joined MEDVAL in 2007, after practicing for four years in the area of Medicare Secondary Payer Act compliance with a Pittsburgh-based law firm. Since joining MEDVAL, she has also closely monitored the development of implementation guidelines set forth by CMS for compliance with the mandatory insurer reporting requirements set forth in Section 111 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (MMSEA).
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