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Integrating Medicare Compliance with Claim Management

The current implementation of MMSEA further enhances the need for accurate claim processing and resolution. Sedgwick offers coordinated in-house services designed to ensure compliance and optimize claim management.

By Christina Bramlet | Updated on October 27, 2009

The Medicare, Medicaid, and SCHIP Extension Act of 2007 (MMSEA) has created new reporting obligations for businesses. The federal government, through its increasing enforcement of the Medicare Secondary Payer Act (MSPA), has demonstrated an objective to avoid or recover all Medicare costs for which a privately insured or self-insured program can be held responsible.

The current implementation of MMSEA will likely enable even more rigorous enforcement, which will further enhance the need for accurate claim processing and resolution. This is partially because non-compliance — in the form of inaccurate or inflated payments — will result in hefty fines or penalties.

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