ORM RAC on the Way

Medicare Set-Aside Blog on September 29, 2011 | Posted by

For all you WC insurers who still don’t know if you are supposed to wait after receiving a CPL for CMS to issue a demand even though you reported ORM and basically accepted responsibility, the answer is apparently on the horizon. I always assumed that RAC contractors would be the most efficient way for CMS to implement an enforcement arm to the MMSEA requirements without must investment of its own resources. In disclosures for the new MSPIC, it was interesting to find an entire category dedicated to an ORM RAC, responsible for debt collection, ORM waivers and appeals and financial reporting. The big picture begins to gain a little more clarity – RREs beware.