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CMS DELAYS IMPLEMENTATION OF SECTION 111 MANDATORY REPORTING TO JANUARY 1, 2011

The Centers for Medicare and Medicaid Services (CMS) has announced a delay in the implementation of Section 111 Mandatory Reporting for Non-Group Healthcare Providers (NGHP), otherwise known as Liability Insurance (including Self-Insurance), No-Fault Insurance, and Workers' Compensation plans, from April 1, 2010 to January 1, 2011. Learn more...

ALERT: CMS has released numerous ALERTS and memos in regards to the MMSEA, Section 111 legislation. To review and download these memos click on the link below.

MMSEA, Section 111 Background

In December 2007, the Medicare Medicaid, and SCHIP Extension Act of 2007 (MMSEA) was erected to include the newest of numerous Medicare Secondary Payer Act (MSP) amendments, Section 111. The ultimate underlying goal of this legislation is to improve enforcement of the MSP. The MMSEA broadly regulates insurance carriers and group health plans by aggressively pursuing those instances in which Medicare should not be a primary payer. Section 111 has added a new mandatory reporting requirements for group health plans (GHP) and for liability insurance (including self-insurance), no fault insurance, and workers’ compensation. On or after January 1, 2011 MMSEA will require that these
providers report certain details about claims involving Medicare beneficiaries to CMS.

Frequently Asked Questions

MedAllocators Reporter

MedAllocators, Inc. is an industry leading national provider of Medicare Set-asides (MSA), MSA Submissions and Medicare Lien Evaluations. With the release of Section 111 of the MMSEA, MedAllocators introduces a customizable reporting platform called MedAllocators Reporter that meets all Mandatory Insurer Reporting (MIR) requirements of Section 111 and can seamlessly receive, transmit, validate data, and generate numerous performance reports. With the addition of MedAllocators Reporter, MedAllocators, Inc. now offers a full spectrum of services that delivers a complete beginning to end solution that helps you comply with the MMSEA of the Medicare Secondary Payor Act.

MReporter Small Volume Solution

MedAllocators, Inc. is an industry leading national provider of Medicare Set-Asides (MSA), MSA Submissions and Medicare Lien Evaluations. With the release of Section 111 of the MMSEA, MedAllocators has launched a customizable reporting platform called MedAllocators Reporter that meets all Mandatory Insurer Reporting (MIR) requirements of Section 111. To meet the needs of customers who only need to report a few claims per year, MedAllocators is excited to introduce another innovative reporting services called MReporter Small Volume Solution (SVS).

MReporter Small Volume Solution is a robust, but lite version of the MedAllocators Reporter. While the current system readily handles electronic data interchange, the MReporter SVS was designed to allow small businesses to manually enter claims and query their files with the COBC. For a small fee per use, MReporter SVS assists small business to comply with all aspects of Section 111 while providing a cost effective and efficient solution. Learn More...

To schedule a webinar, please contact a Medallocators Reporter Specialist