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How to Avoid $1000 Per Day, Per Claim Penalties: Government Issues Updated Medicare Secondary Payer - Settlement Reporting Rules

March 2, 2010
Eli A. Poliakoff

The Centers for Medicare and Medicaid Services ("CMS") has issued updated rules for compliance with the MMSEA "Section 111" requirements for reporting certain settlements with Medicare beneficiaries. As noted in prior client alerts, entities that resolve certain claims with Medicare beneficiaries must report details of the settlement to the government. Non-compliance can result in $1,000 per claim, per day penalties. This alert briefly summarizes the recent regulatory developments and provides some concrete practical suggestions on how to incorporate these changes into your organization's compliance program.

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