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Updated Details Regarding Medicare Secondary Payer Reporting Requirements

06/30/09 - CARSON CITY, NV – The Division of Insurance would like to correct a June 24 press release regarding Medicare Secondary Payer Reporting Requirements in which the original implementation date of the federal legislation was reflected.

It has come to the attention of the Division that the reporting requirements to the Centers for Medicare and Medicaid Services (CMS), mandated in the Medicare and State Children’s Health Insurance Program (SCHIP) Extension Act of 2007, has been extended. Responsible reporting entities now may register from May 1, 2009 through Sept. 30, 2009.
Also, there have been changes in the testing period for the claim input file, the live production submission start date. Detailed information regarding these changes can be found on the CMS web site at: www.cms.hhs.gov/MandatoryInsRep/.

These requirements present new challenges for property and casualty insurers. Insurers will be subject to significant federal fines – $1,000 per day per reportable Medicare claim – if such claims are not reported correctly or in a timely manner. The new reporting rules do not eliminate any existing state statutory provisions or regulations.

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