Montana Self-Insurers Association CE Webinar
New Reporting Rules for MSAs– What You Don’t Know Can Hurt
Thursday, September 19th, 2024 at 10a MDT.
Presented by
Heather Schwartz Sanderson of Sanderson Firm, PLLC
Sponsored by
MES Solutions and Midland Claims Service and Industrial Injury Claims®️
Why is this important? In this situation, what you don’t know can hurt you and potentially your injured worker regarding their Medicare benefits.
Effective next April, all WC settlement information involving a Medicare eligible person will be required to be reported to CMS – whether an MSA has been submitted or not. This requirement includes third party liability settlements where WC is also involved – regardless of the level of involvement.
Starting next month, October 11, CMS will start auditing information for incorrect/missing or incomplete reporting of required MSA information. CMS has announced they will perform random quarterly audits, using information from all of their databases to identify incorrect and incomplete required reporting. Penalties for incorrect/inaccurate/missing reports can be imposed as well. CMS has said they will not be imposing penalties until at least April 2025. However, this will likely give employers and carriers notice of how well or poorly they are reporting required information.
When penalties are imposed, they can be significant, starting at a minimum of $250 per claim/day and moving to $1000 per claim/day (and those numbers will be adjusted based on inflation). The maximum penalty, with the inflation factor, is currently over $500,000 per claim. Penalties will be imposed prospectively only – from the date CMS recognizes the issue. Importantly, CMS will be using any information they have access to indicating a potential claim or settlement should have been reported and was or was not reported or reported correctly.
This Webinar, New Reporting Rules for MSAs – What You Don’t Know Can Hurt, is presented by Heather Schwartz Sanderson of Sanderson Firm, PLLC.
We will learn:
- The current landscape and usage of Medicare Set Asides in WC
- Best Practices around both submitted and non-submitted MSAs
- More on CMS collecting information on all WC settlements for medicare eligible and potentially eligible injured workers
Heather Schwartz Sanderson of Sanderson Firm, PLLC will add to our knowledge at the next MSIA CE Webinar at 10a on September 19 –New Reporting Rules for MSAs – What You Don’t Know Can Hurt.
Heather Schwartz Sanderson is a nationally recognized legal expert in Medicare Secondary Payer (MSP) Compliance, known for her cutting-edge expertise, practical analysis, and industry advocacy. Her extensive legal experience includes federal class action litigation and state-level matters and contributing to MSP legislative reforms since 2011.
One thing is clear – Medicare issues, MSAs, CMS reporting and penalties and ongoing responsibility to protect the Medicare Trust Fund, as created by the Medicare Secondary Payer Act, are not going away. You don’t want to miss this important MSIA CE Webinar - New Reporting Rules for MSAs – What You Don’t Know Can Hurt - on September 19.
This MSIA Webinar is sponsored by
Contact Debbie Collins McCune Debbie.CollinsMcCune@mesgroup.com
Contact Michael Marsh at 406-656-9960 or MMarsh@MidlandClaims.com
Advance registration is required. *If you are seeking the MT Insurance Producer CE, you must provide your name as it appears on your license, the license number and the NPN number.
MSIA members have access to unlimited seats at no charge. Non-member seats are $25 each, with generous multiple seat discounts available by contacting the MSIA office.