Medicare Secondary Payer (MSP) Consulting & Mandatory Insurer Reporting

The need for a trusted Medicare Secondary Payer (MSP) consulting partner is more apparent now than ever before. The Medicare, Medicaid and SCHIP Extension Act of 2007 (MMSEA) took effect in 2010, significantly changing resolution obligations and adding more penalties for non-compliance to the MSP Statute.

Section 111 of the MMSEA requires the providers of liability insurance (including self-insurance), no fault insurance and workers’ compensation insurance to determine the Medicare-entitlement of all claimants and report certain information about those claims to the Secretary of Health and Human Services. The penalty for non-compliance is strict: $1,000 per day for each day the insurer is out of compliance.

MSP Consulting

GRG has extensive experience in helping companies implement procedures to ensure total MSP compliance. GRG’s comprehensive programs address all aspects of resolution and compliance:

  • MSP Consulting
  • Healthcare Lien Resolution
  • Fund Administration
  • Medicare Set-Asides (MSAs)
  • MMSEA Mandatory Insurer Reporting Agent Services

Mandatory Insurer Reporting

GRG serves as the MMSEA Mandatory Insurer Reporting Agent for companies of all sizes. Our proprietary web-based reporting solution, Medicare Compliance Connection, allows clients to securely report claims as required under the MMSEA to ensure compliance and avoid penalties.