Mandatory Insurer Reporting and the Medicare Secondary Payer Act (On-Demand)

General Credits:
Original Date Of Course:



Course Description

Complying with the provisions of the Medicare Secondary Payer (MSP) Act became more complicated with the introduction of Section 111 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (MMSEA). This reporting law obligates certain organizations to report certain information to Medicare when it resolves a bodily injury claim involving a Medicare beneficiary. Non-compliance with this new law carried with it an up to $1,000/day penalty per file. While never enforced historically, that is changing.

This session introduces viewers to the ‘why’ behind the basic mandatory insurer reporting (MIR) provisions of the MMSEA. Among other things, viewers will learn the history behind the MIR provisions, how regulations have developed to enforce the MIR provisions, and what final MIR regulations will likely say.


  1. History of MIR provisions.
  2. Why is Medicare now developing MIR regulations?
  3. What has Medicare released publicly to date?
  4. When does Medicare have the discretion to impose up to a $1,000/day civil money penalty?
  5. Case specific examples to demonstrate how the proposed regulation would work
  6. Final takeaways


Rafael Gonzalez, Esq. and John V. Cattie, Jr., Esq.

Credit Details

Course Type

Course Instructor

John V. Cattie, Jr., Esq., Rafael Gonzalez, Esq.

Original Date Of Course

General Credits