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Captive Resource Center
Businesses and Associations
Research & Information
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About The Firm |
Office
Location:
1500 E. Lancaster Avenue
Suite 104
Paoli, PA 19301
Phone: 877-254-0875
Fax: 610-644-5265
www.specialtyinsservices.com
History:
Specialty Insurance Services, LLC (SIS) was
founded in 2001 to serve as the back office management (Attorney-In-Fact)
for Positive Mutual Risk Retention Group (PMRRG), a South Carolina
domiciled Risk Retention Group insuring Pennsylvania physicians
for their malpractice coverage.
In July of 2004, PMRRG transitioned to a Pennsylvania domiciled
Reciprocal Insurance Exchange; Positive Physicians Insurance
Exchange (PPIX) and SIS remains as back office support
for the Pennsylvania medical malpractice insurer who currently
insures 400 multi-specialty physicians.
SIS is directly responsible for underwriting, billing and policy
issuance and remotely works with third party administrators
such as claim and risk management services, actuaries, reinsurers,
regulatory compliance, accountants, and independent auditors.
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Alternative Insurance Products and Services |
In
order to comply with the new Center for Medicare and Medicaid Services
(CMS) reporting requirements as outlined in Medicare, Medicaid,
and SCHIP Extension Act of 2007 Section 111, SIS has developed our
own software; Compliance™
Medicare Reporting Systems.
In early 2009 CMS released information that effective March 2010
all insurers (including self insured entities) must report liability,
workers compensation, and no fault claim settlements, awards,
and judgments that involved a Medicare beneficiary to CMS. There
are in excess of 150 fields of data that need to be transmitted
to CMS.
CMS has indicated that there will be a $1,000 per day/per claim
fee that will be charged to a Responsible Reporting Entity (RRE)
for incorrect or late reports. Reporting is done on a quarterly
basis at a time specified to each RRE by CMS.
In addition to the quarterly reporting, CMS is suggesting that
each claimant is queried to determine if they are or ever have
been a Medicare beneficiary.
The software is designed to be user-friendly and affordable.
It will enable you to:
- Enter and save all necessary claim data into the autonomous
CMRS software
- Edit previously entered data
- Submit all required data electronically
- Receive e-mail reminder alerts prior to scheduled reporting
periods
- Collect confidential data from defense counsel via a secure
electronically transferred form
- Download Medicare required updates/upgrades without additional
costs
- The entire Compliance TM Medicare Reporting Systems program
can be added to an existing software program at an added cost
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