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Matt Brady

Matt Brady
Public Affairs Director
Federal Affairs

Telephone: 202.580.6742

Lisa Floreancig

Lisa Floreancig
Public Affairs Director
State Affairs

Telephone: 317.876.4246

NAMIC Applauds CMS Medicare Secondary Reporting Delay

WASHINGTON (February 18, 2010) - The National Association of Mutual Insurance Companies (NAMIC) voiced its support for the decision by the Centers for Medicare & Medicaid Services to delay implementation of Medicare Secondary Payer mandatory reporting.

“Given the uncertainty surrounding the reporting system and requirements, delaying the implementation of the reporting requirements is the right thing to do,” said Marliss McManus, senior director of federal affairs for NAMIC. “Without resolving these complex issues, insurers would have been unfairly subjected to significant penalties in trying to meet vague reporting requirements.”

The Medicare, Medicaid, and SCHIP Extension Act enacted in late 2007 added the new information reporting requirements for the purposes of coordination of benefits under Medicare Secondary Payer requirements. As of July 1, 2009, applicable plans were required to determine whether claimants, including those with unresolved claims, were entitled to benefits under Medicare. Plans were originally required to begin submitting that data to the federal government as of April 1, but the decision by CMS instead sets January 1, 2011 as the start date for reporting.

NAMIC, along with other industry groups, sent a letter to Health and Human Services Secretary Kathleen Sebelius requesting a delayed date for implementation of the reporting requirements. In the letter, the groups expressed concerns including a lack of guidance for reporting claims in which multiple reporting entities are involved. Additionally, NAMIC noted that the system would require them to solicit personal information, and expressed concerns over the security of the system.

NAMIC has created a special Medicare Secondary Payer Resource Center on its website to help members with registration and preparing for the reporting requirements.

“NAMIC member companies have been working to comply with the reporting requirements, and while we have some concerns, NAMIC appreciates the work CMS has done on the reporting system and their focus on getting it done right,” McManus said. “We look forward to working with CMS to resolve these complex issues and create a system that enables insurers to efficiently report this data.”

For further information, contact
Matt Brady
Director of Media Relations
(202) 580-6742 Tel

Posted: Thursday, February 18, 2010 4:05:35 PM. Modified: Friday, March 26, 2010 4:05:35 PM.

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