Neil Hoosier & Associates, INC

MEDICARE SECONDARY PAYER INTEGRATION CONTRACTOR (MSPIC) SERVICES.

CMS HAS ESTABLISHED A CENTRALIZED COORDINATION OF BENEFITS (COB) AND MEDICARE SECONDARY PAYER RECOVERY (MSPR) OPERATION BY CONSOLIDATING THESE ACTIVITIES UNDER A SINGLE PROGRAM, COB&R (COORDINATION OF BENEFITS & RECOVERY). THE COB&R INCLUDES ALL OF ACTIVITIES THAT SUPPORT THE COLLECTION, MANAGEMENT, AND REPORTING OF OTHER INSURANCE COVERAGE OF MEDICARE BENEFICIARIES AND THE COLLECTION OF CONDITIONAL PAYMENTS OR MISTAKEN PRIMARY PAYMENTS. THE ROLE OF THE MSPIC IS TO MAKE CERTAIN THAT ALL COMPONENTS SUPPORTING THE COB&R PROGRAM FUNCTION IN CONCERT. THE MSPIC MAKES CERTAIN ALL NEW AND ONGOING ACTIVITIES ARE PROPERLY COMMUNICATED, HANDLED, AND MANAGED BY ALL COB&R SUPPORTING MATRIX CONTRACTORS. PER THE MSPIC SOW UNDER THIS CONTRACT, THE MSPIC IS RESPONSIBLE FOR COB&R PROGRAM MANAGEMENT OVERSIGHT (INCLUDING CHANGE MANAGEMENT, RELEASE MANAGEMENT, RISK MANAGEMENT, AND PROGRAM-WIDE PROJECT MANAGEMENT PLANS), THE PROGRAM HELP DESK, BUSINESS ANALYSIS (INCLUDING BUSINESS REQUIREMENTS DEVELOPMENT, TESTING AND USER DOCUMENTATION), PROGRAM-WIDE DOCUMENT MANAGEMENT, SECURITY OVERSIGHT, QUALITY ASSURANCE OVERSIGHT, AND OUTREACH AND EDUCATION.