Health Systems International Develops Solution for Mandatory Reporting Requirements Required by Centers for Medicare and Medicaid Services

Group Health, Workers' Compensation, Liability, and Auto Insurance Companies Can Ensure Compliance Through HSI Solution


INDIANAPOLIS, IN--(Marketwire - May 26, 2009) - Health Systems International (HSI), a global provider of outsourced medical cost management solutions, has announced a Reporting Solution for Group Health, Workers' Compensation, Liability, and Auto Insurance for Centers for Medicare and Medicaid Services (CMS) Mandatory Insurer Reporting Requirements.

On August 1, 2008, CMS released a statement clarifying the Mandatory Insurer Reporting Requirements legislation that affects HSI clients and prospects in those specific Group Health Plan and Non-Group Health markets.

The legislation states that companies meeting the definition of CMS's Responsible Reporting Entity (RRE) are required to submit information on work-related injury claims involving Medicare beneficiaries on a quarterly basis in the format required by CMS. If companies are not sure whether or not they meet RRE status, HSI works clients through that process. The Mandatory Insurer Reporting Requirements carry significant penalties for non-compliance, specifically a civil penalty of $1,000.00 per day per claim if applicable claimants are not reported in a "timely" manner.

"HSI is committed to protecting our clients," stated Mike Hoover, President of the HSI Specialty Services Division. "We have finalized all electronic data interfaces necessary to submit data to CMS and comply with the legislation, and we are up and running as a Reporting Agent for our clients. We have an entire team focused on CMS timelines, requirements monitoring, registration, testing and 'live data' exchange. We felt it would be more beneficial for our clients to have one place to go for their reporting needs."

For additional information, including the CMS user guide, alerts, and online registration with HSI, companies can call (800) 683-1254, email MSPR@us-hsi.com or log on to www.us-hsi.com and select Domestic Services.

About HSI

Headquartered in Indianapolis, Indiana, HSI is a leading provider of outsourced medical cost management solutions. HSI is backed by Great Point Partners, LLC, a private investment firm with over $900 million of equity capital under management. Since 1987, HSI has utilized proprietary technology, experienced staff medical discount services to relieve clients' administrative burdens and achieve the lowest possible cost of medical care.