CMS is the Center for Medicare and Medicaid Services – essentially, the government arm that runs Medicare. While they have been doing audits for some time, this has recently intensified and you are advised to respond when they come calling.
Essentially, they are looking for those who are in violation of the 1984 ADEA rule which made group coverage primary for employees who are 65 and older. Some employers have given employees incentives to drop off the group plan and thus make Medicare primary. This is positively prohibited…and they are now looking to catch those who are guilty of this “crime”
Simple solution – give us a call if it happens to you and we will walk you through the process