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New Federal Law Imposes $1,000 per Day Fine for Late Reporting of Payments to Medicare Claimants



by W. Randall Bassett
King & Spalding LLP - Atlanta Office

Tara K. Kelly
King & Spalding LLP - Houston Office

October 13, 2009

Previously published on October 9, 2009

The federal law that requires plaintiffs and defendants in personal injury lawsuits to reimburse Medicare for payments made to a plaintiff now imposes stiff penalties on defendants that fail to report these payments. The Medicare, Medicaid, and SCHIP Extension Act of 2007 (MMSEA) requires self-insured defendants and certain categories of insured defendants to begin reporting settlements, awards, or other payments made to plaintiffs in 2010. The failure to report can result in a fine of $1,000 per plaintiff for each day the reporting is late. In addition, the pre-existing law allows the government to seek double recovery from a defendant if the plaintiff fails to reimburse Medicare after receipt of a settlement payment from the defendant.


 

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