Workers’ Compensation Data Fields 16 Conditional Payment of Medicare Lien If the Medicare beneficiary is on Medicare and there were payments made by Medicare from the date of injury, the following tasks need to be performed: 1. Secure the signed release forms from the injured worker to obtain information from Medicare on any payments made. 2. Request an estimated conditional payment. Once it is received, analyze it to ensure the items are related to the industrial loss. Any unrelated payments should be challenged. 3. Obtain the final settlement document and submit to the Medicare Secondary Payer Recovery Center (MSPRC). CMS will consolidate all functions and workloads related to Medicare Secondary Payer (MSP) post-payment recoveries into one MSP recovery contract. 4. MSPRC will take over new MSP recovery cases and most existing ones. 5. Request and analyze the final demand and make recommendation to the client. File Documentation for Medicare Lien Since an MSA is part of a settlement, the documents will be so coded in C3 as “***MARJI…***”. Confidential, Proprietary and Trade Secret Document of NARS and protected by the Florida Uniform Trade Secrets Act, chapter 688, Florida Statutes. No use allowed unless specifically authorized.
Y(Our) Workers' Compensation Guidebook - The NARS Way Page 58 Page 60