Section 111 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (MMSEA) adds new mandatory reporting requirements for Liability Insurance (including Self-Insurance), No-Fault Insurance, and Workers' Compensation. These new reporting requirements are designed to aid the federal government identify payments made to Medicare recipients so that the Mandatory Secondary Payer (MSP) rules for Medicare benefits can be applied.

UPDATE: CMS has recently delayed the mandatory reporting date from April 1, 2010 to January 1, 2011! This means that there is still time to get your solution in place and avoid penalties!

Companies who are self-insured (including companies with an SIR or high deductible) for liability insurance, no-fault insurance, and worker's compensation are responsible for reporting claims information to the Centers for Medicare and Medicaid Services (CMS). The penalties for non-compliance are steep: $1,000 per claim per day. To further complicate matters, data must be transmitted to CMS in a specific electronic format that is very difficult to create by hand. See the Mandatory Insurer Reporting page on CMS's website for complete details. The new reporting is mandatory by January 1, 2011.

To aid self-insured companies in meeting this new reporting burden, APP Technologies has created its MMSEA Section 111 Reporting Service. You can enter your claimant information on our online website, transmit it securely over the Internet from our Incident Management System software, or transmit the data from your own claims system using XML web services. APP's Reporting Service will perform the necessary queries of the CMS database to determine which claims are reportable to CMS and will then handle creating and submitting the required quarterly reports. You can check the status of your claims from the Reporting Service website 24 hours a day, 7 days a week.

Highlights of the service:

• A one-stop solution for NGHP (Non-Group Health Plan) MMSEA Section 111 reporting
• Integrates directly with APP's Incident Management System: zero data re-entry
• Features a web-based interface for 24/7 access to and control of your claims data
• Third-party software integration using XML Web Services
• Pre-validates submissions to prevent rejection from CMS
• Insures timely reporting by automatically preparing and transmitting your reports, potentially saving thousands of dollars in late reporting penalties

Contact us today to get information on our highly competitive pricing!

What Can I Do From Here?

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