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Major Medicare reforms become law — Are you ready?

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.

Verisk Risk Symposium

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:

Cytonn Photography 604680 Unsplash

  • 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, J.D.

Mark Popolizio, J.D., is vice president of MSP compliance at ISO Claims Partners, a Verisk business. You can contact Mark at mpopolizio@verisk.com.


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