CMS recently released an updated Medicare Secondary Payer Recovery Portal (MSRP) user guide in the hopes to lead to some more efficient practices. A summary of the updates is as follows:
To reduce the number of calls received by the BCRC regarding the status of case correspondence, a new read-only Letter Activity tab has been added to the Case Information page, which displays correspondence that have been sent related to a Benefits Coordination & Recovery Center (BCRC) or Commercial Repayment Center (CRC) case.
To make MSPRP more consistent so that both insurers and beneficiaries (and their representatives) can request electronic letters, the MSPRP now allows insurers, recovery agents on the Tax Identification Number (TIN) reference file, and insurer representatives with a verified Recovery Agent Authorization, who also log in using multi-factor authentication, to request electronic conditional payment letters (eCPLs) for BCRC and CRC insurer-debtor cases.
Note: eCPLs may also be requested on cases that are in bankruptcy.
To help Account Managers (AMs) determine which currently active designees should be deleted because of long inactivity on an account, a Last Login Date column has been added to the Designee Listing page
In cases where Part A, non-inpatient, claims do not have a HCPCS or DRG code associated with them, the Primary Diagnosis Code will appear on the Payment Summary Form (PSF), in bold, under the DX Codes column, along with an explanatory footnote. When the Primary Diagnosis Code is bolded, the HCPCS/DRG column will be blank.
While some of these changes may appear to be minor, the letter activity tab is one feature many of us will find most helpful, as this will alleviate time spent on the phone with BCRC/CRC representatives. At this time with this new feature, the portal is only showing the letters received by the CRC, and the letters are read-only, but the ability to view this correspondence is certainly a marked enhancement to the current process. In addition, the ability to request an electronic conditional payment letter on certain cases is a huge improvement. This will streamline the process in evaluating conditional payments, without having to wait for the letters through the mail.
CMS appears to be continuing to find methods and processes to streamline the conditional payment process, and while we may be a long way away from a truly efficient process; we are one step closer. The updated MSPRP User guide can be found here.
We will keep you updated on any additional CMS changes or CMS issued guidance.
ABOUT THE AUTHOR
Jean Goldstein is MEDVAL's Senior Legal Counsel. She is a licensed attorney admitted to practice in the State of Maryland, with a diverse legal background, ranging from class action litigation to Medicare Secondary Payer compliance. With a keen understanding of MSP compliance, Jean is often consulted to offer insight, direction, and training to insurance carriers and outside counsel, on topics ranging from CMS' voluntary review program, CMS policies, practice tips, and general Medicare Secondary Payer compliance, including conditional payment resolution. Click here to visit MEDVAL's blog.
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