Sep

18

MSP COMPLIANCE, Part II: Tips to monitor staff members’ efficiency

By The RAC Report

As we reported in The RAC Report September 4, Medicare Secondary Payer (MSP) RACs collected $12.7 million in its demonstration project. Although CMS discontinued the MSP RACs, it will still check for MSP compliance in the nationwide permanent program. We shared two tips regarding MSP compliance with you in the last edition.

Check out two more MSP tips below:

• Verify that your current processes are working. Review a sample number of MSPs on a consistent basis. For example, review all inpatients or all ED patients or a sample of all types of registration either weekly or monthly. The minimum should be 10% or 30 records per your review period for a productive sampling.
• Review your current MSP processes for opportunities to improve. Look at the training materials, the accuracy rates and the processes you have in place to see where and what you can improve on. Ask staff members what gives them the most trouble, and customize your training or re-training focus in that area.

Editor’s note: These tips were provided by Stephanie Smithson, CHAM, patient access manager at Dunn Memorial Hospital in Bedford, IN. Her facility scored 100% on a recent federal MSP compliance audit.