G CUECs – Medicare Secondary Payer (MSP)

30.9.4 – G CUECs – Medicare Secondary Payer (MSP) (Rev. 331, Issued: 11-15-19, Effective: 10-01-19, Implementation: 12-17- 19) G – Control Objective Number G – CUEC Description G.1 The Fiscal Intermediary Standard System (FISS), a Part A CMS system, automatically creates “I” records as needed. This control objective does not pertain to BCRC or the CRC contractors. G.1 MSP edits (including 6800) codes are automatically processed by CWF and reported to the contractors for claim review through audit and error codes in the applicable shared system in order to assist examiners in the processing of claims. The applicable systems are configured with automated help messages to aid claims processing and edit resolution. G – Control Objective Number G – CUEC Description G.1 The applicable systems are configured to process claims. The MSPPAY module calculates the amount Medicare should pay as secondary payer. These MSP amounts are automatically updated in the applicable shared systems and the final MSP payment amount is sent to CWF. G.2 HIGLAS and CAFM records overpayments as adjustments are posted, sets up accounts receivable, and tracks interest assessment on debt. G.3, G.4 The CMS provides software, the Common Working File (CWF) for editing, and the Electronic Correspondence Referral System (ECRS) to address assistance requests and MSP inquiries. G.5 CMS accurately and timely communicates mandated regulatory requirement changes and internal policy changes. ALL Access to the all CMS systems are restricted by user identifier (ID) and password. Inactive ID’s are suspended after 30 calendar days and deleted after 90 calendar days. Controls are in place to suspend an account after three unsuccessful login attempts. End Section 30.9.4 – G CUECs – Medicare Secondary Payer (MSP): Back to Table of Contents