Introduction
Section 111 of the Medicare, Medicaid & SCHIP Extension Act added additional mandatory reporting requirements to the Medicare, Medicaid and SCHIP Extension Act (MMSEA) of 2007.
The new requirements are in respect to Medicare beneficiaries who – in part – receive settlements, judgments, awards or other payments from a liability insurance plan, self-insured entity, no-fault insurance plan, or workers’ compensation plan. Failure to comply with these reporting requirements may result in large daily fines.
The Center for Medicare and Medicaid Services (CMS) has the necessary information to determine when Medicare’s financial responsibility is secondary.
Experts agree this new mandatory reporting will significantly change the way liability judgments are handled.
Who must report?
An entity identified as a Responsible Reporting Entity (RRE) which can include:
- Liability Insurance Plan
- No-fault Insurance
- Workers’ Compensation Plan
- Self Insured Entity
Effective January 1, 2011, each RRE must complete reports within a seven day period and return to CMS. These reports include over 100 points of information plus numerous ICD-9 codes.
Need assistance in filing?
SLP has the ability and expertise to help you with your filing needs. We can serve as your reporting agent and handle the filing or help collect the required information in the correct format for you to file with CMS.
Click here to contact us about reporting services
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