By Barrye Miyagi
Partner, Taylor Porter
Practice Group Leader, Medicare Secondary Payer and MMSEA (Section 111) Compliance
Most litigators are aware of the importance of determining if Medicare and certain private insurers known as Medicare Advantage Plans have an interest in their case. In sum, these entities may have a right of reimbursement under the Medicare Secondary Payer Act (the MSP). Identifying these insurers is often a challenge. The PAID Act was designed to address that issue. We blogged on the PAID Act on June 26, 2018.
Last week, the Centers for Medicare & Medicaid Services (CMS) discussed implementation of the PAID Act in a Town Hall meeting. CMS provided the following information in its Town Hall:
Currently, Medicare provides Responsible Reporting Entities (RREs) with information on a claimant’s Medicare-eligibility through a query process in the Section 111 Reporting Portal. The query response does not currently identify a claimant’s Medicare Part C and Medicare Part D providers. Identifying Part C and Part D providers assists all interested parties in properly coordinating benefits. CMS is implementing a plan to provide RREs with Part C and Part D information.
Does Implementation of the PAID Act Affect my Practice?
As mentioned in our prior article, the PAID Act benefits several interests. For advice on how implementation of the PAID Act may affect your business or for best practices for compliance with the MSP, please contact Taylor Porter Partner and Medicare Secondary Payer and MMSEA (Section 111) Compliance practice group leader Barrye Miyagi.
About Barrye Miyagi: Taylor Porter Partner Barrye Panepinto Miyagi is a Certified Medicare Secondary Payer Fellow (CMSP-F), administered by the Louisiana Association of Self Insured Employers (LASIE), and she is the practice group leader of Taylor Porter’s Medicare Secondary Payer and MMSEA (Section 111) Compliance group, which handles issues related to the Medicare Secondary Payer Act. Barrye counsels businesses on the Medicare rules and regulations, including identifying and resolving Medicare’s interest in settlements and judgments, as well as complying with Section 111 of the Medicare, Medicaid and SCHIP Extension Act.
Please note this information is accurate as of the date of the published article on June 29, 2021.
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