Delay in Implementation  of Automated Medicare Secondary Payer (MSP)  
Adjustments (CR 6225)

On Fri July 1, CMS implemented change request (CR) 6625 that created a 
systematic process in which Medicare automatically reopens/adjusts certain MSP 
claims when a beneficiary's MSP claims record was deleted or an end date was 
applied to an open beneficiary MSP record. This automated process no longer 
required physicians, providers, and suppliers to contact their Medicare 
contractors to adjust or reprocess these types of MSP claims. CMS informed 
physicians, providers, and suppliers of these changes through a listserv 
message.

Due to systems issues currently affecting CR 6625, CMS directed its A/B 
Medicare Administrative Contractors, Durable Medical Equipment Medicare 
Administrative Contractors, and legacy contractors (FIs and Carriers) to 
immediately suspend all actions on this CR. This means that our Medicare 
contractors are unable to automatically reopen/adjust claims when Medicare 
takes action to delete or terminate a previously existing MSP record. 
Physicians, providers, and suppliers must revert to the pre-July 1 process and 
contact their Medicare contractor to request re-openings/adjustments of claims 
that were previously considered MSP. Therefore, if you have claims that were 
processed since July 1 that need to be reopened/ adjusted due to Medicare now 
being the primary payer, you should contact your local Medicare contractor to 
request that action.

CMS will alert physicians, providers, and suppliers once the current issues 
tied to the implementation of CR 6625 have been resolved.



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Vaccinate Early to Protect Against the Flu. The Centers for Disease Control and 
Prevention (CDC) recommends a yearly flu vaccination as the first and most 
important step in protecting against flu viruses. Remind your patients that 
annual vaccination is recommended for optimal protection. Medicare pays for the 
flu vaccine and its administration for seniors and other Medicare beneficiaries 
with no co-pay or deductible. Take advantage of each office visit and start 
protecting your patients as soon as your 2011-2012 seasonal flu vaccine 
arrives. And, don't forget to immunize yourself and your staff. Get the Flu 
Vaccination -- Not the Flu.



Remember - Influenza vaccine plus its administration are covered Part B 
benefits. Note that influenza vaccine is NOT a Part D covered drug. For 
information about Medicare's coverage of the influenza vaccine and its 
administration, as well as related educational resources for health care 
professionals and their staff, please visit 
http://www.cms.gov/MLNProducts/35_PreventiveServices.asp.



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