CMS extends current thresholds for Mandatory Insurer Reporting under Medicare Secondary Payer Act
RISK MANAGERS can rest easy for a little while longer. On November 9th the Centers for Medicare & Medicaid Services (CMS) announced that it will delay enforcement of TPOC (total payment obligation to the claimant) reporting in liability-only cases in a new “Alert” that will supersede the deadlines currently contained in their User Guide (Version 3.1).
In addition, the thresholds for reporting have been extended for an additional calendar year.
These changes indicate that CMS is aware of the problems of implementation of strongly punitive reporting requirements which come with a $1,000-per-day, per-claimant penalties.
Medicare Secondary Payer Compliance