Tower MSA Partners Announces Section 111 Reporting Audit Service to Help Workers’ Comp Payers Correct Systemic Issues and Avoid Penalties
14 Mayo 2024 - 5:01AM
Business Wire
Workers’ compensation payers have approximately six months to
get their Section 111 reporting houses in order. Tower MSA Partners
has introduced a Section 111 reporting audit service to help them
do just that.
Starting October 11, 2024, workers’ compensation plans,
liability insurance (including self-insurance, no-fault insurance),
and Responsible Reporting Entities (RREs), and will be held
accountable for the timely reporting of Medicare beneficiary
claimants where ongoing responsibility for medicals (ORM) has been
accepted, or where a Total Payment Obligation to the Claimant
(TPOC) has occurred. Civil Monetary Penalties (CMPs) for untimely
reporting of ORM acceptance or TPOC can be thousands of dollars on
a single claim.
Tower’s Section 111 reporting audit service detects problems or
potential problems in the RRE’s reporting processes that could lead
to CMPs due to untimely reporting. It also addresses the issuance
of unnecessary Conditional Payment Demands by Medicare’s recovery
contractor that occur when ORM Term Dates are not reported as part
of TPOC reporting.
“Our compliance experts examine a set of claim input and
response and query response files over a set time period and review
the organization’s reporting policies and procedures,” said Chief
Compliance Officer Daniel Anders. “The audit detects the types of
errors, inconsistencies and omissions that hinder compliance and
could trigger a reporting penalty.”
Tower goes beyond just identifying problematic processes.
Experts collaborate with the RRE to take corrective actions and
implement changes to ensure compliance. “It’s not just a snapshot
in time,” Anders said. “Changing processes fixes issues for the
long term.”
About Tower MSA Partners
Serving clients nationally, Tower MSA Partners provides
comprehensive Medicare Secondary Payer compliance services,
including Section 111 Mandatory Insurer Reporting, conditional
payment resolution, and Medicare Set-Aside optimization and
preparation. For more information, please visit www.towermsa.com
and subscribe to https://towermsa.com/blog/.
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version on businesswire.com: https://www.businesswire.com/news/home/20240514698522/en/
Helen King Patterson, APR, King Knight
Communications, 813-690-4787, helen@kingknight.com