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Medicare Agent Reporting ServicesSection 111 MSP reporting enables CMS to determine primary versus secondary payment responsibilities and correctly pay for Medicare covered items and services furnished to Medicare beneficiaries. Section 111 requires Responsible Reporting Entities (RRE's) to submit information electronically to the CMS Coordination of Benefits Contractor (COBC).Non-GHP User Guide User Guide Alert 1 User Guide Alert 2 What is an RRE?42 U.S.C. 1395y(b)(8) defines a responsible reporting entity to be an applicable plan: "Applicable plan means the following laws, plans, or other arrangements, including fiduciary or administrator for such law, plan, or arrangement:
Section 111 RRE's are required to register with the COBC and fully test the data submission process before submitting production files. RRE's will then be assigned a quarterly file submission timeframe during which they are to submit files. The timeline for reporting is as follows:5/1/09 - 6/31/09: Electronic registration via the Coordination of Benefits Secure Website for all liability/no fault/worker's compensation RRE's7/1/09 - 12/31/09: Testing period for all liability/no fault/worker's compensation RREs 10/1/09 - 3/31/10: Section 111 production files based upon a pre-determined schedule with the COBC. RREs are required to begin live production submission no later than their assigned submission window in January to March of 2010. 10/1/09 - 6/30/10: RRE's must report claims with resolution or partial resolution dates July 1, 2009 and subsequent - for both ongoing responsibility cases and one-time payment cases 6/20/10: Deadline to report claims with an original resolution before 7/1/09 where the RRE has accepted ongoing responsibility, but were subject to further payment as of 7/1/09. Novare's Medicare Agent Reporting Services are available to RRE's to provide MMSEA 111 compliance.
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