Subject Matter: Change in Reporting Threshold for Certain Liab ility Settlements Judgments Awards or Other Payments
On February 18, 2014 CMS released an alert advising of changes
in the reporting threshold for certain liability settlements, judgments awards,
or other payments.
As required by section 202 of the Strengthening Medicare and
Repaying Tax Payers Act of 2012 (SMART Act), the Centers for Medicare &
Medicaid Services (CMS) has reviewed the costs related to collecting the data
and determining the amount of Medicare’s recovery claim. Based on the
review CMS is increasing the current reporting threshold to $1,000.
is effective immediately
not apply to settlements for alleged ingestion, implantation or exposure
Physical trauma-based liability settlements of $1,000 or less do
NOT need to be reported and recovery of Medicare’s conditional payment amount
from these settlements will not be pursed.
The content of the alert supersedes the content of the existing
Medicare Secondary Reporting Non-Group Health Plan User Guide (Version
4.1). The content will be updated in the next version of the user guide.
Firm/Company: Centers for Medicare & Medicaid Services
Document Date: February 21, 2020
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