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Compliance with Mandatory Reporting Requirements Under Medicare, Medicaid and SCHIP Extension Act of 2007 (PDF)
Porter Wright Morris & Arthur LLP
[Guidance Overview] Sept. 15, 2009 Excerpt: The Medicare, Medicaid and SCHIP Extension Act of 2007 ('MMSEA') took effect July 1, 2009. One of the purposes of MMSEA is to allow the federal government to recover payments made under Medicare when Medicareincorrectly acted as a primary payer or when a Medicare beneficiary receives payments from both an insurer and Medicare for the same injury. To that end, MMSEA requires group health plan arrangements ('GHPs') and liability insurers, no-fault insurers, workers' compensation insurers, and self-insurers (collectively, 'non-GHPs') to report any settlement, award, judgment, or other payment that they make involving a Medicare beneficiary to the Centers for Medicare & Medicaid Services ('CMS'), the federal agency within the U.S. Department of Health and Human Services that is responsible for administering Medicare. MORE >> |
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