"Blair & Company is focused on developing long
term business relationships with our clients, and
helping them solve their claims handling needs.
Please contact us to discuss what solutions
we can provide for your organization." - Rod Blair, President
Section 111 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (MMSEA), sometimes referred to as “Section 111”, added mandatory reporting requirements for liability insurers, no-fault insurers, and workers’ compensation insurers, collectively referred to as Non-Group Health Plan (NGHP) insurers. An NGHP is obligated to notify Medicare about any settlements, judgments, awards, or other payment received by or on behalf of a Medicare beneficiary. The reporting requirements for NGHP insurers under MMSEA Section 111 first became effective on May 1, 2009.
In response to the requirements mandated by the Centers for Medicare and Medicaid Services (CMS), Blair & Company has designed and implemented robust proprietary software that not only integrates with CMS directly, but also with any intermediary vendor designated by our clients. Our fully featured systems coordinate all required data collection, data input, error-checking, data submission and response handling as required by CMS.
Compliance with these complicated issues requires a multi-faceted approach that is accomplished with a combination of knowledgeable staff and a sophisticated claims system. Our staff has intimate understanding of Conditional Payments, Medicare Set-asides, and Mandatory Insurer Reporting. This enables our claims examiners to identify any potential Medicare obstacles early in the claims process and seek resolution of the claim expeditiously.
Blair & Company examiners and supervisors have been trained on CMS reporting requirements and the procedures required:
Blair & Company examiners and supervisors are required:
Blair & Company is compliant with all relevant legislation and regulations including: