NMU's Compliance Database - Northern Michigan University
Section 111 of the Medicare, Medicaid, and SCHIP Extension Act of 2007
Reviewed By | Internal Auditor Owner |
Regulation Reference Cite | Public Law No. 110-173 |
Report Due Date (Actual) | Annual |
Level | Compliance Report |
Oversight Unit | HUMAN RESOURCES |
Person Responsible | Heather Haupt |
Secondary Person Responsible | Rhea Dever |
President / VP Level | Finance |
Description |
This requirement is posted twice - once for HR and once for Risk Management, since HR handles workers compensation plans and RM handles personal injury liability claims. HR will attest, because they handle much of the report preperation. In general, the University, as a provider of self-insured group health and workers compensation plans, must determine whether a claimant is entitled to benefits under Medicare on any basis, and if so, must submit to the Secretary of the Department of Health and Human Services the claimants identity and other information (e.g. SSNs, date of birth, sex, and address) specified by the Secretary for coordination of benefits and recovery claims purposes. The University must have an authorized representative who is legally responsible and signs a contract with the government, and also an account manager (must be a different person) who is collecting data and reporting on a quarterly basis. $1,000 per day civil penalty for each claimant for whom information should have been submitted, but was not. |
Contacts and Data Sources |
NMU Human Resources utilizes a third party administrator. |
Internal Notes |
This compliance item has notes that are available internally to the oversight unit. Please contact the Risk Management Department for more information |