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August 2011

CMS Publishes Upcoming Schedules for MMSEA 111 Town Hall Teleconferences

The Centers for Medicare and Medicaid Services (CMS) is hosting Teleconferences as follows: -August 24, 2011: NGHP Policy -September 21, 2011: NGHP Technical -October 19, 2011: NGHP Policy -GHP Teleconferences are scheduled and posted as well.

MMSEA Section 111 Data Reporting Are You Prepared?

With the Medicare Secondary Payer Mandatory Reporting well underway as of January 1, 2011 for all Workers Compensation Insurance, it is important to note that all Liability Insurance (including Self Insurance) RRE's will need to begin preparing now for their reporting based upon a predetermined schedule with the COBC. Beginning January 1, 2012, these entities will be required to submit their Section 111 production Claim Input Files or face possible penalties and or fines! Most data reporting agents are charging over $15,000 for set-up negotiations with CMS for RRE reporting. As you know, we have a "Lowest Price Guarantee" and continue to offer this service at a "reduced cost" as part of the MSA Data Reporting and Approval Package. If you still have not yet selected a data reporting vendor and are not yet ready with your reporting, then please give us a call today for more information in this regard. We can help you with total CMS Compliance!

Washington DC Takes A Serious Look at the Medicare Secondary Payer Process

As some of you may have heard, on July 22, 2011 the Energy and Commerce Subcommittee on Oversight and Investigations drafted a letter to Secretary Sebelius and Administrator Berwick advising the American People deserve an effective and efficient government and that we cannot accept collection procedures that come at an unreasonable cost to the taxpayer. It appears that the Subcommittee members may be seeing the value in a Medicare Secondary Payer (MSP) recovery threshold, as well as the urgency of striking a balance between the cost of the current recovery process and the stability of the Medicare fund. Please click the link below for more information about H.R. 1063 The Strengthening Medicare and Repaying Taxpayers Act (SMART Act) for Medicare Set Aside accounts.

Click here for more information.

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