Archive for the ‘Medicare’ Category

CMS Delays Reporting for Liability Claims until 2012

November 16th, 2010

The Center of Medicare and Medicaid Services (CMS) announced on November 9th that the requirement for reporting new liability claims, or be subject to fines, has been extended from the first quarter of 2011 to the first quarter of 2012.  This does not apply to claims with Ongoing Responsibility for Medical (ORM) claims.  It will… Read the full post →

Direct Data Entry option is available for small volume users

July 1st, 2010

At the Centers for Medicare & Medicaid Services (CMS) Town Hall meeting on May 25, 2010, CMS provided an alert and information regarding a new process they have developed for small volume RRE users. This is called the Direct Data Entry (DDE) option. To use this, an RRE must have a volume not to exceed… Read the full post →

Your Help is Needed to Improve the MSP – Support HR 4796

May 20th, 2010

The Medicare Advocacy Recovery Coalition (MARC)  is working with legislators in Washington to improve the existing Medicare Secondary Payer (MSP) law.  They are working with Representatives Tim Murphy and Patrick Murphy (both from Pennsylvania) on H.R. 4796, the Medicare Secondary Payer Enhancement Act of 2010 (MSPEA).  The MSPEA would make the following changes which will… Read the full post →

Revised CMS User Guide is Available

March 12th, 2010

The EIA has reviewed the revised CMS User Guide, Version 3.0, issued February 22nd and has developed a summary of major changes.  Contact Jack Blyskal if you have questions regarding these updates or other CMS reporting questions. Summary Revised CMS User Guide

MMSEA Update: Reporting Date Has Changed

February 19th, 2010

On February 17, 2010, the Centers for Medicare and Medicaid Services (CMS) announced that it was moving the start date for mandatory reporting of eligible claims from April 1, 2010 to January 1, 2011. This provides an additional nine months for those Responsible Reporting Entities to ensure their data transmittals to CMS are functioning properly… Read the full post →

MMSEA Compliance

February 4th, 2010

In 2007 then President George W. Bush signed into law the SCHIP (State Children’s Health Insurance Program) legislation.  Included in that legislation is section 111 which creates fines against “Primary Payers” for failing to report to Medicare (CMS) and claims where payments are made for Medicare eligible beneficiaries.  The original implementation of this was targeted… Read the full post →