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Nonsubscription Article
February 24, 2010
New Medicare/Medicaid Mandatory Reporting For Nonsubscribers
A federal law that took effect July 1, 2009
requires all businesses that have any type of liability insurance for
work-related injuries to register with the Department of Health and Human
Services. Companies must report regularly about job-related injuries occurring
January 1, 2010 or later.
 The
law is known as the Medicare, Medicaid, and SCHIP Extension Act of 2007 (MMSEA).
Reporting will begin April 1, 2010 to include any open claims dating back to
January 1, 2009 (subject to change). There are no exceptions.
After Insured companies complete a brief online form, Combined Group's Anchor
Claims Management will serve as the Responsible Reporting Entity (RRE) and will
report all payments made to or on behalf of a company's employees for benefit
claims.
Current clients of Anchor
Claims Management will receive this mandatory reporting service at no
additional charge. Companies not currently clients may retain Anchor for this
service at very attractive rates.
What Is a Responsible Reporting Entity?
In general, an RRE is any insurance carrier or self-insured employer that makes
payment to a claimant or representative of the claimant, whether on a
first-party or third-party claim, and whether or not a third party reimburses
the self-insured entity.
Although an employer may contract with an unrelated third party (TPA) to prepare
and file the mandatory reports under MMSEA, each employer must register with the
Medicare Coordination of Benefits Contractor (COBC) using the online process.
Instructions for completing the MMSEA form are located here.
Who Is Affected?
All companies with liability insurance, including:
- Self-Insurance
- No-Fault Insurance
- Workers' Compensation
Failure to comply with these mandatory MMSEA
reporting requirements can result in fines of $1,000 per day, per claimant.
For more information, please contact Claims Manager
Byron McBride,
Anchor Claims
Management, 214-295-1600, ext. 543.
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