The SMART Act (H.R. 1063) Proposes New Amendments To the Medicare Secondary Payer Statute
On March 14, 2011, the Strengthening Medicare and Repaying Taxpayers Act of 2011 (SMART Act) (H.R. 1063) was introduced in the U.S. House of Representatives.
The SMART Act proposes major amendments to the Medicare Secondary Payer Statute (MSP). The SMART Act’s reform proposals target the following areas of MSP compliance:
–Obtaining CMS’ reimbursable conditional payment amount;
–Requiring CMS to respond to requests for conditional payment information within set timelines;
–MSP appeal rights;
–Section 111’s “$1,000 a day, per claim” penalty provision;
–Use of Claimant’s SSNs and HICNs;
–MSP threshold exemptions; and
–MSP statute of limitations.
The March 2011 Edition of Settlement News outlines the proposals contained in the SMART Act and discusses how they relate to MSP compliance.
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