In a previous blog dated September 23, 2011, we announced the confirmation that the MSPRC contract which was previously held by Chickasaw Nation Industries (CNI) would not be renewed when it expired on September 30, 2011 (the contract had been in effect since 2006). CMS confirmed that they would be seeking to establish a centralized Coordination of Benefits (COB) and Medicare Secondary Payer Recovery (MSPR) operation by consolidating the two units. In the interim, Group Health Incorporated (GHI) will be overseeing the recovery process.
On December 8, 2011, CMS posted an RFP (Solicitation Number: RFP-CMS-2011-0048) for an MSP Business Program Operations Contract to establish a centralized operation by consolidating under a single program, the performance of all activities that support the collection, management, and reporting of other insurance coverage of Medicare beneficiaries, and the collection of mistaken primary payments. The intent of the consolidation is to provide quality customer service and a single source to Medicare providers, suppliers, beneficiaries, insurers, and other stakeholders by streamlining the MSP data and debt collection processes while ensuring the integrity of the Medicare Trust Funds.
PMSI believes that the industry would welcome this integration with the hope that it will lead to an improvement in the overall recovery process, particularly the length of time currently involved in verifying and resolving conditional payments. We will continue to monitor the transition as well as the RFP process and will post additional information as it is received.