On January 1st, 2011, the reporting requirements of the Medicare/Medicaid and State Children’s Health Insurance Program (SCHIP) Extension Act of 2007 (MMSEA) became effective.

All self-insured employers and insurers are required to report eligible liability, no-fault and workers compensation claims to the Centers for Medicare and Medicaid Services (CMS). This law was enacted to limit Medicare payments that should be paid by employers and insurers.

What you need to do:

Report claims involving Medicare recipients to your insurance company immediately! If you do this, you need not worry about compliance. Your company will be responsible for reporting these claims to CMS.

However, if you decide not to report a claim, or decide to report it but pay portions of the claim, you may not be in compliance with CMS regulations. Failure to comply with these requirements could result in fines of $1,000 per claim per day.

To avoid costly fines, we strongly encourage you to report all claims and submit all medical bills directly to your company. If you have any questions, please This e-mail address is being protected from spambots. You need JavaScript enabled to view it .