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Tuesday, May 17, 2016

CMS Publishes Final Rule for MSP Conditional Payments Via Web Portal

This final rule, effective June 16, 2016,  specifies the process and timeline for expanding CMS' existing Medicare Secondary Payer (MSP) Web portal to conform to section 201 of the Medicare IVIG and Strengthening Medicare and Repaying Taxpayers Act of 2012 (the SMART Act).

The final rule specifies a timeline for developing a multifactor authentication solution to securely permit authorized users other than the beneficiary to access CMS' MSP conditional payment amounts and claims detail information via the MSP Web portal.

It also requires that CMS add functionality to the existing MSP Web portal that permits users to:
  1. Notify us that the specified case is approaching settlement; 
  2. obtain time and date stamped final conditional payment summary statements and amounts before reaching settlement; 
  3. and ensure that relatedness disputes and any other discrepancies are addressed within 11 business days of receipt of dispute documentation.
Effective date: June 16, 2016