Section 111

Countdown to “Full and Final” Settlements: Arizona S.B. 1332

The recent passage of Arizona Senate Bill (S.B.) 1332 provides Arizona claims payers with unprecedented opportunity, finally, to close out their workers’ compensation claims. Under this new law, parties will now be able to reach “full and final” settlement of certain workers’ compensation claims beginning October 31, 2017.

Medicare Section 111 Process Change Eases One Compliance Burden

Medicare’s annual recertification process and update brings welcome news about Section 111 reporting and Responsible Reporting Entities (RREs). RREs will no longer automatically be moved into...

New Realities: The Section 111 Connection to Conditional Payments and Claim Outcomes

Section 111 reporting historically has been viewed as an abstract technical Medicare compliance obligation and the responsibility of an IT department, because it involves the electronic transmissio...

Risky Business: Five Essential Tips for Section 111 Reporting

Your Section 111 reporting program may seem clear-cut, but it can mean risky business if your team isn’t prepared to avoid the pitfalls of common compliance mistakes. The primary objective of Secti...

CMS Releases Updated Reporting and Recovery Thresholds with News on TPOCs

The Centers for Medicare and Medicaid Services (CMS) has released its latest alert regarding its low-dollar reporting and recovery thresholds pertaining to liability (including self-insurance),...

Should You Purchase MSA Liability Insurance?

It’s estimated that the number of Medicare beneficiaries will reach 80 million by 2030. When it comes to Medicare Secondary Payer (MSP) compliance, enforcement will likely increase as the number of...

Deep Dive: Clinical Trials and Section 111 Reporting

ISO Claims Partners is dedicated to demystifying Section 111 . Today I’d like to take a deep dive into one reporting trigger of Ongoing Responsibility for Medicals (ORM) by exploring clinical trial...

Preparing for ICD-10: Are You Ready?

For the past year, it’s been difficult to overlook the numerous reminders from the Centers for Medicare and Medicaid Services (CMS) regarding the upcoming transition from ICD-9 to ICD-10. The chang...

Auditing the Auditor: What Every Company Should Know

With the ever-present threat of a CMS (Centers for Medicare and Medicaid Services) assessment of Section 111 reporting penalties looming on the horizon, many Responsible Reporting Entities (RREs)...

Medicare Conditional Payment Compliance: Myth vs. Fact

The statutes and regulations that govern Medicare have been referred to by courts as “ the most completely impenetrable texts within human experience .” With the complex nature of Medicare complian...