Section 111 Reporting

Section 111 Reporting Overview

Section 111 provides Medicare with all the data needed to enforce compliance not only with Section 111 but also with the Medicare Secondary Payer (MSP) statute — a law requiring that Medicare not pay for medical treatment when another primary payer is available. Section 111
reporting is an addition to existing MSP requirements.

Benefits to Section 111 Reporting

  • Added reporting rules, but did not eliminate any previously existing Medicare Secondary Payer (MSP) statutory provisions or regulations
  • Did not change existing processes for MSP recovery and self-reporting other insurance to CMS
  • Includes what must be reported
  • Specifies the form and manner of reporting
  • Includes penalties for noncompliance

 

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