Mandatory Insurer Reporting

CMS has recently phased in legislation requiring Responsible Reporting Entities (RREs) to report all claimants who are Medicare beneficiaries on an ongoing basis. This requirement applies to Liability (including self-insurance), No-Fault, Auto Insurers and Workers’ Compensation. Penalties for failure to report can be as high as $1,000 per claimant per day.

Insurers must report electronically in the format required by CMS. Reports must include the determination of a claimant’s Medicare eligibility, the identity and SSN of the beneficiary, information about the accident, injuries, and/or illnesses, and any other information needed to enable CMS to coordinate benefits. The RRE must also report when it is no longer responsible for the future medical treatment on the claim.

ANS Rehab Consulting handles the Mandatory Insurer Reporting process for its MSA clients, eliminating the hassles, paperwork and potential errors and oversights which can occur.

ANS Rehab Consulting can help clients set up a new CMS registration and reporting procedures, or take over the reporting process from an existing claim or vendor function. We can provide reporting which is fully compliant with CMS’ file formats, including properly formatted header, detail and trailer records as well as submission timeliness requirements.

Our expert and easy-to-use MSA services add value to the settlement effort, and our reporting capabilities are consistent with our emphasis on quality and accuracy. Let us show you how we could bring your firm’s Medicare responsiveness and compliance to a new level!

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