Medicare Program; Obtaining Final Medicare Secondary Payer Conditional Payment Amounts via Web Portal
medicare · Centers for Medicare and Medicaid Services · Rule · Published 2016-05-17 · Effective 2016-06-16 · 81 FR 30487
Document
Document number
2016-11270
Federal Register citation
81 FR 30487
CFR reference
42 CFR 411
Type
Rule
Action
Final rule.
Category
medicare
Sub-agency
Centers for Medicare and Medicaid Services
Publication date
2016-05-17
Effective date
2016-06-16
HHS docket
CMS-6054-F
Abstract
This final rule 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 we add functionality to the existing MSP Web portal that permits users to: Notify us that the specified case is approaching settlement; obtain time and date stamped final conditional payment summary statements and amounts before reaching settlement; and ensure that relatedness disputes and any other discrepancies are addressed within 11 business days of receipt of dispute documentation.