Sunshine Act, CMS Mandatory Reporting Requirements & Baseline Testing
March 12, 2014 | Archive Now Available
A storm has been brewing since the workers’ compensation medicare set-aside arrangements (WCMSA) were established in order to protect Medicare from future medical expenses from work comp and general liability claims.
With the mandatory requirement that all work comp and general liability claims be reported in electronic format, CMS has a mechanism to look back and identify if they have ever made any work comp-related medical payments.
Section 111 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 adds new mandatory reporting requirements for group health plan (GHP) arrangements and for Liability Insurance (including Self-Insurance), No-Fault Insurance, and Workers’ Compensation. Failure to comply can subject any company to “double damages.” The Smart Act which went into effect 1/1/13 now adds additional burdens of related conditions. In this upcoming webinar, you will learn what an employer can do with baseline testing.
A live Q&A with the audience will follow the presentation.
MaryRose Cusimano-Reaston, Ph.D.,Founder and Chief Science Officer, Emerge Diagnostics, Tulsa OK
Currently Instrumental in the development and commercialization, marketing and governmental acceptance of advanced Electrodiagnostic testing instrumentation. Developed and administered seminars and training programs for Continuing Medical Education Units for physicians, registered nurses, case managers, and administrative personnel in all areas of Electrodiagnostic Medicine. Classified as an expert witness in Federal Court in the area of Electrodiagnostic Techniques and Evaluations. Testified before Congress and OSHA on Electrodiagnostic Techniques.
Publications: Journal of Occupational Medicine and Technology, January 2011, IEEE. Presenter 2011 Legal Changes Necessitate Proactive Management of Musculoskeletal Disorders The Role of Electrodiagnostic Functional Assessment Soft Tissue Management Program Harvard Medical School and EMBC 2011. Insurance Though Leadership: Repetitive Stress Injury Has Become Cumulative Trauma for Employers, Insurance Thought Leadership: Is Your OSHA Program Discriminatory?, Insurance Thought Leadership: Don’t Get Washed Away By The Medicare Set Aside, Insurance Thought Leadership: Workers’ Compensation In California: No Longer Just Permanent and Stationary, Insurance Thought Leadership: What An Employer Can Do to Reduce Soft Tissue Injuries in the Transportation Industry, Insurance Thought Leadership: The Healthcare Industry is Ripe for Baseline Testing.
Education and Honors 2012 Risk Innovator of the Year Workers’ Compensation, Risk Insurance Magazine and 2012 Responsibility Leader Liberty Mutual. Inventor of EFA technology and holder of several patents on technology and methods. Harvard Medical School Certificate in Electromyography and Clinical Neurophysiology; Doctor of Philosophy, Psychology; Master of Arts, Psychology; University of California at Los Angeles Bachelor of Arts. Board Member Eastern Oklahoma Chapter of RIMS, Advisory Board Member The Gatesway Foundation. Expert witness EFA technology and Electrodiagnostic Techniques. Testified before OSHA and Congress