Deadline Looms for Firms to Register Claims Data


Insurers and self-insured employers face a Dec. 31 deadline to register with a federal agency, but numerous questions remain about what workers compensation and liability claims data must be fed into the Medicare system, several experts say. Insurers and self-insured employers identified as responsible reporting entities must register with the U.S. Centers for Medicare & […]

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Some Comp Cost Increases Blamed on Medicare Rules


Inflated rulings on how much employers must set aside to ensure Medicare does not pay for workers compensation medical claims are resulting in needless cost increases, risk managers and claims experts contend. Claim settlement delays and government practices for evaluating workers comp claims requiring a Medicare set-aside are boosting costs for those claims by as […]

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Municipalities and Medicare


Is a municipality immune from conditional payment liability under the Medicare Secondary Payer Act, 42 U.S.C. §1395y(b)(8)? No. This answer may surprise claims managers for public entities, but the law provides no protection whatsoever for municipalities. Not even federal government agencies are exempt. The rationale is simple: Medicare needs to be made whole. Social Security and […]

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Navigating Medicare Secondary Payer Compliance


The Medicare Secondary Payer Act has been in place for more than two decades. During that time, much has been written regarding the requirements to comply with Medicare. Third-party administrators and self-insureds are particularly vulnerable to changes in Medicare regulations—most recently, and in particular, the State Children Health Insurance Program Extension Act. This article traces […]

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If you are a Medicare beneficiary and any of these issues occurred with your Medicare claim, please tell us your story.  Your personal experience will help MARC advocate for positive change and seek much needed MSP reform on Capitol Hill. We will not use your identifying information without your consent.