Major Medicare Reforms Become Law — Are You Ready?

By Mark Popolizio May 17, 2013

In a major development on the Medicare front, President Obama has signed the Strengthening Medicare and Repaying Taxpayers (SMART) Act into law. The SMART Act makes major revisions to Section 111 reporting, conditional payments, and other important Medicare Secondary Payer (MSP) compliance areas.

I hope you can join me at the Verisk Insurance Solutions 2013 Risk Symposium (on June 24 in London) and attend Session 301: SMART Act Becomes Law — How the SMART Act Will Change MSP Compliance. As part of the presentation, I’ll break down the SMART Act’s provisions and discuss how they will change everyday claims and settlement practices in the following areas:

  • Section 111’s “$1,000 a day, per claim” penalty
  • obtaining Medicare conditional payment information
  • appealing Medicare lien claims
  • safe harbor protections
  • low-dollar compliance thresholds
  • Medicare statute of limitations
  • preparing for the changes — practical claims approaches

Mark Popolizio

Mark Popolizio is the Vice President of MSP Compliance and Policy for ISO Claims Partners. Mark’s area of specialty is Medicare secondary payer compliance. He authors regular articles and provides educational presentations across the country on MSP issues. Mark's e-mail address is mpopolizio@iso.com.