Medicare Issues Reporting Requirement Details for Eligibility Filings in WC and Liability Cases (Aug. 1, 2008)

The Centers for Medicare and Medicare Services (CMS) recently released information regarding the reporting requirements pursuant to Section 111 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (MMSEA) for both Group Health Plans (GHP) and liability insurance, which can be accessed online at https://www.cms.hhs.gov/MandatoryInsRep/ or on the Burns White Medicare Department page at: http://www.bwhllc.com/law/medicare. Filing will be electronic, but many additional details regarding the form, manner, timing and frequency of the reporting have yet to be disseminated by the Secretary of the Department of Health and Human Services (DHHS). The Burns White Medicare Department is summarizing the pertinent information for you below, but our staff attorneys are ready and available to provide Medicare Reporting Compliance training in order to update your program. Failure to properly comply with Medicare’s reporting requirements will result in a $1,000 per day penalty per claim. Given these penalties, the next several months are crucial in your development of a program to confirm Medicare-eligibility. Burns White can satisfy all of your Verification needs, helping you to avoid penalties and act in compliance.

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Additional information can be accessed through the SUPPORTING STATEMENT for the Medicare Secondary Payer (MSP).