Claims recently asked Kathy Donovan, senior compliance counsel for Insurance Compliance Solutions at Wolters Kluwer Financial Services, to tell us more about a "brave new world" of Medicare reporting and what insurers will need to do to stay compliant. Here's what she had to say:

What are the new mandatory Medicare reporting requirements?

The Medicare, Medicaid and SCHIP Extension Act of 2007 (MMSEA) set forth a detailed mandatory claim reporting requirements compliance timeframe for many property and casualty insurers. These insurers, known as non-group health plan insurers (NGHP), are defined in that Act as being an "applicable plan" for liability insurance (including self-insurance), no-fault insurance, and workers' compensation insurance, including the fiduciary or administrator for such a law, plan, or arrangement. The reporting requirements — generally referred to as Section 111 requirements from the 2007 Act — apply when the injured claimant under the P&C policy is a Medicare beneficiary. All applicable claims, based on the current interim reporting thresholds established by the Centers for Medicare and Medicaid Services (CMS), involving a Medicare beneficiary where, on or after July 1, 2009, there is a settlement, judgment, award or other payment that constitutes payment or reimbursement for medical costs, must be reported.