Insurers' Reporting Obligations Under Medicare Medicaid SCHIP Extension Act

Outline

1. Overview of MSP and MSSEA Act
   1. Medicare Secondary Payer Act
   2. Medicare, Medicaid and SCHIP Extension Act
      1. Types of claims covered
      2. Covered entities
      3. Role of third-party administrators
      4. Entities obligated to make MSP reimbursement
2. MMSEA reporting obligations
   1. Claimant data
   2. Injury/claim data
   3. Obtaining necessary reporting data
   4. Determining eligibility for Medicare
   5. Claims submission process
   6. Timing of reporting obligation
   7. Fines and penalties
3. Compliance measures
   1. Reporting processes and systems
   2. Medicare set-aside arrangements
   3. Indemnification provisions
   4. Third-party checks to CMS

Benefits

The panel will review these and other key questions:

• What must insurance companies and self-insured entities do to ensure compliance with the MMSEA's reporting mandates?
• Do the reporting requirements of the MMSEA apply to third-party administrators?
• How should counsel structure settlements to comply with the MMSEA?
• What are counsel's obligations under the MMSEA?
• What are the implications of the U.S. v. Stricker case on the government's ability to recover under the Medicare Secondary Payer Act?

Following the speaker presentations, you'll have an opportunity to get answers to your specific questions during the interactive Q&A.