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

17 November 2011 / ERRP / 0 Comment

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.”

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 prior to the March 30, 2012 deadline.