RDS Services - Subsidy Recovery Specialists

Funding Runs Out for Early Retiree Reinsurance Program

rstipek — Tue, 21 Feb 2012 15:15:36 +0000

On February 17, 2012, the Centers for Medicare and Medicaid published an updated reimbursement report that identified the payments that have been made to Plan Sponsors from the 5 billion dollars appropriated to this temporary program. As of that date, the funding that was made available to eligible plan sponsors has run out. This leaves thousands of ERRP Plan Sponsors wondering what they should do now.

According to Health and Human Services, reimbursement requests which exceed the program's $5 billion will now be held in the order of receipt, pending the availability of funds that may become available through recoupment of overpayments. As previously reported, Plan Sponsors with reimbursement requests on hold can expect to receive an email notifying them that their reimbursement requests have been placed on hold pending the availability of funds. If you receive such an email, you may call the ERRP Contact Center to obtain updated information on the position of your reimbursement request in the list of held reimbursement requests.

The Centers for Medicare and Medicaid will continue to pay reimbursement requests in the order received until available funds are exhausted. If there are not sufficient funds to pay in its entirety the first reimbursement request that causes the initial exhaustion of the funds available for payment, CMS will partially honor that reimbursement request, and will pay the balance of that reimbursement request if additional funds become available through recoupment of overpayments.

It is extremely important to note that Plan Sponsors who have received funds through this Program must submit an error-free claims list before March 30^th or you will be at risk of losing the funding you have received, allowing it to become available for another Plan Sponsor. As posted on the last ERRP.gov announcement, absent the submission of such an error-free claim list and a corresponding reimbursement request, CMS will initiate procedures for recoupment of the funds paid to the Plan Sponsor. Funds returned to the Program as a result of recoupment efforts will be used to pay outstanding reimbursement requests in the order in which they were received.

The pressure is on for Plan Sponsors to keep their ERRP subsidy. If you are in need of assistance regarding data aggregation for an error free claims list, please contact RDS Services immediately.

How Plan Sponsors Can Avoid Forfeiting ERRP Monies

rstipek — Fri, 20 Jan 2012 16:56:21 +0000

Has your organization collected ERRP reimbursement prior to October 3^rd, 2011? If so, proceed with caution before spending the monies. There are many unsuspecting plan sponsors that have yet to complete the last and most important step of the ERRP program requirements.

In fact, according to the latest HHS report dated December 2, 2011, over 1,000 plan sponsors who received money from ERRP before October 3^rd, 2011 have yet to submit a supporting error-free claim list. This list is required by March 30^th, 2012. Per the ERRP Common Question H1100-15, “if a Plan Sponsor fails to do so by the deadline, then the reimbursed amount will be determined to be unsubstantiated, and CMS will initiate processes to collect such amount back from the Plan Sponsor.”

Our company, RDS Services, LLC of Troy, Michigan has a program to ensure that this requirement is completed before the deadline.

Given the complexity of this review system, many plan sponsors are struggling to provide an error-free claims list to support their ERRP reimbursement Plan Sponsors who submit a detail claim list to HHS must pass through 5 levels of claim audit before receiving an “approval” to submit a reimbursement request.

RDS Services is, and has been, successfully aggregating and submitting error-free claim lists for our clients through this new automated review system. Our database program will aggregate your vendor(s) data, detect errors, format data to be ERRP ready, and ensure that you submit an error-free claims list and supporting reimbursement prior to the March 30, 2012 deadline.

Please contact me to discuss our services further if you need our assistance.

ERRP March 30th Claim List Deadline

rstipek — Thu, 12 Jan 2012 22:15:40 +0000

To date many organizations have collected ERRP reimbursement(s) but, according to the last Health and Human Services (HHS) report, some have not submitted a supporting error-free claim list and reimbursement. HHS requires an error-free claim list by March 30^th, 2012. Our company has a program to ensure that this last step is completed before the deadline.

As posted on the ERRP.gov website; to substantiate any Early Retiree Reinsurance Program (ERRP) reimbursements received prior to the October 3^rd, 2011 claim list automated review requirement, ERRP Plan Sponsors MUST submit an up-to-date and error-free claims list by March 30, 2012, and submit a corresponding reimbursement request in support of reimbursements received prior to October 3^rd, 2011. Per the ERRP Common Question H1100-15, “if a Plan Sponsor fails to do so by the deadline, then the reimbursed amount will be determined to be unsubstantiated, and CMS will initiate processes to collect such amount back from the Plan Sponsor.”

Given the complexity of this review system, many plan sponsors are struggling to provide an error-free claims list to support their ERRP reimbursements. RDS Services is, and has been, successfully aggregating and submitting error-free claims for our clients under this new automated review system. Our database program will aggregate your vendor(s) data, detect errors, format data to be ERRP ready, and ensure that you submit an error-free claims list and supporting reimbursement prior to the March 30, 2012 deadline.

With March 2012 Deadline Looming RDS Services LLC helping Plan Sponsors Avoid Losing ERRP Subsidy.

rstipek — Thu, 17 Nov 2011 13:56:47 +0000

On Monday, October 3, 2011, CMS began providing specific, claim line-level feedback to sponsors who submit claims lists through a new, fully automated review system. All claims lists submitted on or after October 3 must be error-free in order for the plan sponsor to submit a reimbursement request, and then be approved for payment. Each claims list submitted by a plan sponsor must pass through this review system, which includes five levels of audit. If an error occurs at any level, the claims list is rejected before reaching the next level. If a claims List is determined to be invalid and cancelled from the system, the sponsor must resubmit a corrected claims list.

To substantiate any ERRP reimbursements received to date, plan sponsors MUST submit an up-to-date and error-free claims list by March 30, 2012 and submit a corresponding reimbursement request in support of reimbursements received prior to October 3, 2011. Per the ERRP Common Question H1100-15, last updated 09/23/2011, “if a Plan Sponsor fails to do so by the deadline, then the reimbursed amount will be determined to be unsubstantiated, and CMS will initiate processes to collect such amount back from the Plan Sponsor.”

RDS Services Client Satisfaction Survey

rstipek — Mon, 31 Oct 2011 18:43:56 +0000

RDS Services recently compiled the results from its bi-annual Client Satisfaction Surveys. We are proud to report a very positive response rate and very satisfied Early Retiree Reinsurance Program and Retiree Drug Subsidy Program clients.

This Survey was sent to all RDS Services clients who are involved in either the Retiree Drug Subsidy Program or both the Retiree Drug Subsidy and Early Retiree Reinsurance Program.

The purpose of this Survey was to gain an understanding of the satisfaction level of our clients who utilize our services, and to determine what we need to do as a company to improve. Participants were asked to respond to questions indicating the following levels of satisfaction: 1) Extremely/Excellent; 2) Above Average; 3) Average; 4) Fair; 5) Poor; or 6) No Response. The survey addressed the following areas:

Timeliness and completion of all the functions we complete on your behalf related to both the RDS and ERRP:

- 94% of our clients respond with excellent or above average

Response time to your questions and concerns: