The Centers for Medicare & Medicaid Services (CMS) is charged with implementing the mandatory reporting provisions in Section 111 of the Medicare, Medicaid and SCHIP Extension Act of 2007 (42 U.S.C. § 1395y(b)(8)). The “Section 111 Secondary Payer Program” applies to group health plans and all liability insurance providers (including self-insurers), no-fault insurance and workers’ compensation. The law requires detailed data submissions to CMS whenever a settlement, judgment or other payment is made to, or on behalf of, a Medicare beneficiary. Click here for a detailed summary of the Section 111 law, including the FAQs, and Practical Tips, issued May 2009.

With the new law now in effect, reporting entities should now be engaged in registration and training for the data entry and submission process. In response to the many substantive and technical questions regarding compliance with the new reporting requirements, CMS continues to provide guidance, updates, and clarifying instruction for liability providers and others.  Click on the icon below to read full article.