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MMSEA

How is Your Organization Addressing the New Federal MMSEA Requirements?
The Time to Act is Now.

The Medicare, Medicaid, and SCHIP Extension Act of 2007 (MMSEA) impacts the handling of Workers' Compensation, Liability, Auto No-Fault, and Self-Insurers claims, defined by CMS as Non-Group Health Plans (NGHP). Section 111 of this Act requires reporting of certain cases and transactions to Medicare.

The primary goal of Mandatory Insurer Reporting is to identify and enforce Medicare's Secondary Payer (MSP) rights through recovery of conditional payments and ensure that settlements, judgments, and awards adequately protect Medicare's interests.  Fines for non-compliance are $1,000 per claim per day.

Testing begins in January 2010, and reporting is required beginning in April 2010.  The time to act is NOW.

How Riskonnect RMIS (Risk Management Information System) helps:

 

  • Riskonnect RIMS provides access to electronic filing services from within our Claims Administration module

  • Queries and reports are submitted according to your assigned schedule

  • Data received in response files is attached to each claim and action items are automatically created and assigned when more information is required

  

To Receive Help from Riskonnect:

Fill out the Form to Notify a Riskonnect representative that you would like further information.

Helpful Links:

Centers for Medicare & Medicaid Services (CMS) site for MMSEA for "non group health: secondary payer information"