When an employer, third party administrator and carrier are trying to settle a workers’ compensation claim, they can come up against a long process that involves heaps of documents and a back-and-forth with the Centers for Medicare & Medicaid Services (CMS) that can delay settlement further, among other challenges they can face using a traditional Medicare Secondary Payer (MSP) product.
“It’s very time-consuming, gathering all the documentation that’s necessary to submit to Medicare for review and approval – that is making sure we have all of the updated current medical records, current pharmacy ledgers, payment histories, settlement terms. It’s an arduous process to comply with CMS requirements and it adds delay to the settlement process,” said Robert Sagrillo, president and chief legal officer of NuQuest, a multidisciplinary MSP compliance organization. “Typically, Medicare comes back with development requests asking for additional information, again delaying the process.”
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