Section 111 Reporting

Centers for medicare medicaid services.

Section 111 reporting. Re post february 23 2009 introduction to section 111 mandatory medicare secondary payer reporting pdf home a federal government website managed and paid for by the u s. Section 111 of the medicare medicaid and schip extension act of 2007 mmsea added mandatory reporting requirements with respect to medicare beneficiaries who have coverage under group health plan ghp arrangements as well as for medicare beneficiaries who receive settlements judgments awards or other payment from liability insurance including self insurance no fault insurance or. The section 111 coordination of benefits secure website cobsw is used by nghp rres to register for section 111 reporting monitor file submissions and submit online queries of medicare entitlement.

Nearly four years after legislation mandating that property casualty insurers participate in an automated exchange of settlement and medical claims data the centers for medicare medicaid services cms at last is poised to implement mandatory insurer reporting. The new reporting requirements are imposed directly on self insured entities and insurance carriers. 7500 security boulevard baltimore md 21244.

The purpose of the section 111 reporting process is to enable the centers for medicare medicaid services cms to pay appropriately for medicare covered items and services furnished to medicare beneficiaries by determining primary versus secondary payer responsibility. United states department of health and human services. In general when the injured party is a medicare beneficiary and the.

The section 111 resource mailbox at pl110 173sec111 comments cms hhs gov is a vehicle that responsible reporting entities rres may use to send cms policy related questions regarding the medicare secondary payer msp reporting requirements included in section 111 of the medicare medicaid and schip extension act of 2007. The responsible reporting entity rre and its duly authorized agent for this section 111 reporting if any shall establish appropriate administrative technical procedural and physical safeguards to protect the confidentiality of the data and to prevent unauthorized access to the data provided by cms. Beginning january 1 2011 section 111 of the mmsea requires certain entities to directly report potentially eligible claimants to the centers for medicare and medicaid services cms.