Workers' Compensation & Disability Solutions
   

MMSEA Section 111 

Query and Reporting Services 

Are you in compliance with MMSEA reporting? Is your current TPA reporting the required claims for you? You should know these answers because the penalty for failure to comply is $1,000 per day for each claim.

What is MMSEA?

The Centers for Medicare and Medicaid Services ("CMS") have issued new reporting regulations for Medicare Secondary Payers including liability insurance, no-fault insurance, and workers' compensation. The new mandated regulations can be found under Section 111 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 ("MMSEA").

The purpose of the new regulations is to identify primary payers to medicare and medicaid for the health benefits available to a beneficiary adn to coordinate the payment process to prevent the mistaken or unnecessary payment of medicare and medicaid benefits. Workers' compensation benefits are primary to any other form of insurance, but in many instances bills that should be submitted to the workers' compensation carrier are submitted to medicare or medicaid. These new reporting requirements will catch those situations.

Will FCS take care of all my MMSEA reporting requirements?

FCS has the capability of reporting the required claims to CMS as your account manager. We can perform these services for new and existing clients!

For more details and information, prospective clients are invited to contact FCS's President Kathleen Camp by phone (716) 650-2720 or e-mail kcamp@fcsadministrators.com. Current FCS clients should continue to direct MMSEA questions to Office Manager Kathleen Hamilton by phone (716) 650-2739 or e-mail khamilton@fcsadministrators.com

Where can I find additional information on MMSEA?

All implementation instructions, including a user guide, are available at CMS's dedicated web page: