Aon eSolutions, provider of award winning technology-based tools that improve the management of risk, insurance and safety programs, today announced that risk management tools RiskConsole and iVOS will provide clients with solutions to comply with the Centers for Medicaid and Medicare Services, or CMS, mandatory reporting requirements.
Section 111 of the Medicare, Medicaid and SCHIP Extension Act of 2007 adds new reporting rules for group health plan arrangements and liability insurance (including self insurance), no-fault insurance and workers’ compensation. The Act was created by Congress to ensure that the Medicaid/Medicare system does not pay expenses that should be covered by insurance companies or other entities. The deadline to submit these new electronic documents is Jan. 1, 2010.
Kathy Burns, chief executive officer of Aon eSolutions said: “Many of the requirements for reporting are subject to change as CMS continues to address concerns expressed by the industry. RiskConsole and iVOS will expand its solutions to provide increased benefits and value for clients as we monitor and consult with CMS on the reporting requirements.”
RiskConsole and iVOS will support the CMS reporting function in the following ways:
- Data capture: Enabling the ability to capture and store all data required for CMS reporting
- Eligibility query: Generating claimant data to submit for CMS eligibility and processing eligibility responses
- Claim reporting: Generating Medicare claims reports and importing CMS responses to reported claims
- Adjuster level notifications: Notifying adjusters of claim errors and responses from CMS using business rules and other alerts
- File flexibility: Enabling the submittal of liability and workers’ compensation claims in combined or separate plan-type claim files
