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This profile was last updated on 4/15/14  and contains information from public web pages and contributions from the ZoomInfo community.

Director of Medicare Secondary Pa...

Phone: (866) ***-****  
Local Address:  Newburyport , Massachusetts , United States
Allsup Inc
300 Allsup Place
Belleville , Illinois 62223
United States

Company Description: Allsup and its subsidiaries provide nationwide Social Security disability, veterans disability appeal, re-employment, exchange plan and Medicare services for...   more

Employment History

Board Memberships and Affiliations

  • Founder
  • Director
    Medicare Secondary Payer Compliance for Allsup


  • Bachelor of Arts degree
    Amherst College
31 Total References
Web References
These changes are creating new ..., 15 April 2014 [cached]
These changes are creating new opportunities to outline best practices in our industry," said Rob Sokol, director of Medicare Secondary Payer Compliance at Allsup.
Sokol and his Allsup colleagues will be available for questions and industry insights during the four-day event at Allsup Booth No. 807 in the Exhibit Hall of Colorado Convention Center.
For more information, Sokol may be reached at r (dot) sokol (at) allsupinc (dot) com.
Leadership, 1 Mar 2014 [cached]
Rob Sokol - Director, Medicare Secondary Payer Compliance
Recession Raises Profile of Medicare Verifications, Says Allsup, 8 April 2009 [cached]
"For insurers, this means a changing environment that really demands they become better informed about their compliance requirements and liabilities," said Rob Sokol, director of commercial sales at Allsup. "Ultimately, they are responsible for the information that will keep them in compliance with SCHIP stipulations and help them avoid penalties that take effect July 1, 2009," Mr. Sokol said.
Medicare verifications, provided quickly and accurately by Allsup, are the first and essential step toward meeting Medicare Secondary Payer compliance, according to Mr. Sokol. "Having this information in hand is one of the first steps toward establishing and resolving other aspects of a claimant's situation," he said. "Allsup has demonstrated for many providers the value of these and related MSP services." "These changing times mean that providers must increase their vigilance for compliance, and Allsup is here to add more strength to their efforts," he added.
Better Business Reports » 2011 » January, 1 Jan 2011 [cached]
"Businesses are digging into the details of complying with the mandatory reporting requirements to ensure they have the ability to properly test their programs before the deadline for compliance," said Rob Sokol, director of sales-Medicare Secondary Payer compliance at Allsup.
CMS has provided additional time to comply, but ideally organizations will register by Sept. 30, 2010, in order to complete a full quarter of testing prior to Jan. 1, 2011, Sokol said.
"When the requirement takes effect, all responsible reporting entities (RREs), without exception, must comply with MMSEA reporting requirements or face stiff penalties of $ 1,000 per day and other liabilities," Sokol said.
"Being able to implement a thoughtful solution to meet the new requirements takes detailed knowledge of CMS' complex rules regarding secondary payer reporting," according to Sokol.
"This is an area where companies need a lot of help to comply, especially in the general liability claims practices," Sokol said. "Allsup's expertise helps ensure that no insurer has to go it alone in attempting to comply with complex and evolving rules. Our Medicare Set-Aside services help carriers to protect themselves by complying properly."
New Developments Likely
Companies can expect additional new developments in this area of compliance, Sokol added. "The industry right now is struggling to define and apply the best formula for handling the tremendous costs and overpayments inherent with the system as it now exists," he said.
Court Rules Medicare Misses Time Window To Recoup Costs, 1 Nov 2010 [cached]
"CMS' magnifying glass has reached the liability industry," said Rob Sokol, director of commercial sales-Medicare Secondary Payer compliance at Allsup. "Liability insurers can expect Medicare to continue examining the federal agency's involvement in settlements for Medicare-entitled beneficiaries," Sokol said. "The concern for insurers is developing a strategy now to protect their settlements as these developments with Medicare continue to unfold." In addition, insurers are experiencing increased scrutiny as a result of the reporting requirements associated with Section 111 of the Medicare, Medicaid and SCHIP Extension Act of 2007 (MMSEA). CMS requirements state that effective Jan. 1, 2011, all responsible reporting entities (RREs), without exception, must comply with MMSEA reporting requirements or face stiff penalties of $1,000 per day and other liabilities. The act requires group health plans, liability insurers, no-fault insurers and workers' compensation insurers to report information to CMS about payments to Medicare beneficiaries. "These signs point to a new environment for the liability industry-and the next step should be investigating and developing a strategy to protect their settlements," Sokol said. Medicare's reporting requirements highlight the necessity of having a formal process for addressing the federal program's interest in cases where the individual receiving a settlement is Medicare-eligible, he explained. (Note: The Medicare Secondary Payer Act, enacted in the 1980s, allows Medicare to seek reimbursement for money they paid for an individual's healthcare that should have been paid by another insurer, i.e., when Medicare is "secondary" payer.) Protecting Settlements, Acknowledging Medicare In some ways, the liability industry is fortunate that service providers such as Allsup have already established a process for ensuring these protections for settlements. The critical tool for addressing Medicare's interests in liability settlements is the Medicare set-aside (MSA), Sokol explained. Documentation of medical expenses provides greater protection and benefits the liability insurer, the attorneys, the Medicare program and the individual. In this way, MSAs fill a vital role for workers' compensation settlement, and the practice can be applied in the same way to the liability sector. "Establishing an MSA is a prudent, risk-mitigating step," Sokol said.
Companies can expect additional new developments related to Medicare Secondary Payer (MSP) compliance, Sokol said. "It's important to locate Medicare Secondary Payer compliance experts like Allsup who can help your organization properly document settlements and ensure protection against increasing Medicare scrutiny," Sokol said. "Everything we've seen up to this point is that Medicare is continuing to develop this process of recovering from those entities who are primary payers." "Now is the time to take protective measures," Sokol added.
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