Biden HHS Sets Penalties for Medicare Secondary Payers

The Biden administration issued a final rule Tuesday specifying how and when the Centers for Medicare & Medicaid Services must determine and impose civil monetary penalties for Medicare secondary payers that fail to meet federal reporting obligations.

The term “Medicare secondary payers” refers to entities that have primary responsibility for paying before Medicare, according to the CMS.

The rule (RIN: 0938-AT86) applies to group and non-group health plans as well as Responsible Reporting Entities, or RREs, that are responsible for funding a claim payment to someone who’s eligible for Medicare benefits.

The penalties come into play ...