For the second time the government has postponed the mandatory reporting requirements for carriers. The complex nature of reporting and several unanswered questions surrounding implementation and enforcement seems to have prompted the change. The costs associated to comply as well as the risk for improper or failure to comply has resulted in a new insurance product to protect those entities from liability due breakdowns in the reporting procedures. Learn more in the latest from the Claims SPOT.
Medicare Secondary Payer
Medicare Secondary Payer Allows Direct Data Entry For Small Reporters Of Claims
A new change to the Medicare Secondary Payer reporting will allow those entities with a small number of reports the ability to key in individual claims. This will alleviate the need to create, test and manage a data feed. While not without limitations, the news should help those smaller reporting entities that had been struggling with the onerous requirements. The method is limited to those reports that have less than 500 reportable events in a year. Read more about the changes in today’s post.
Medicare Secondary Payer Enhancement Act Being Introduced in Congress Could Address Many Concerns of Section 111 Reporting
Dealing with MSP Can Feel Like Walking Into a Maze The Medicare Secondary Payer Enhancement Act … Medicare Secondary Payer Enhancement Act Being Introduced in Congress Could Address Many Concerns of Section 111 ReportingRead more
Important Update: Medicare Secondary Payer changes production date to January 1, 2011
The Centers for Medicare/Medicaid Services (CMS) have announced the following: CMS advises all NGHP RREs that … Important Update: Medicare Secondary Payer changes production date to January 1, 2011Read more
Warning – Medicare Secondary Payer (MSP): Government sends strong message and goes after non-compliance
If you are an insurance company or self-insured, and make payments on liability or workers’ compensation claims, be aware that the Federal Government has filed a lawsuit signaling their intent to be aggressive in seeking reimbursement. As reported in Business Insurance, this “case breaks new ground because CMS simultaneously named insurers, settlement beneficiaries and plaintiffs attorneys all in one lawsuit.” This case should alert all that if you make a payment on an injury claim, and fail to let the Government know about money they should be collecting, they will come after you.