A Premier Medicare Compliance Service Provider
Section 111 Reporting
In 2007, as a means of enforcing the Medicare Secondary Payer (MSP) recovery laws ,Congress passed the Medicare, Medicaid and SCHIP Extension Act (MMSEA). This Act, also known as Section 111 Reporting, specifies that settlements, judgments, awards or other payment(s) made to a Medicare beneficiary as a result of a personal injury claim, must be reported to Medicare. Penalty for failure to do so can be up to $1,000/day per claim.
Section 111 Querying & Reporting System
Flagship brought together multiple professional resources in a collaborative effort to develop the best-in-class Section 111 Reporting solution, the LumenX®, that handles every aspect of Medicare Querying and Reporting for Responsible Reporting Entities (RREs). Flagship’s LumenX system eliminates technical complexity from the reporting process, provides secure data transmission and keeps an historical record of all submissions to, and responses from, Medicare, for an easy-to-access Section 111 Reporting audit trail. LumenX® is the most accurate, efficient, and scalable Querying and Reporting system in the industry.
LumenX – Section 111 Querying
Achieving 100% compliance with Medicare regulations begins with a monthly query of the Medicare database to identify Medicare beneficiaries. “Getting querying right” means (1) identifying all claims involving personal injury,then (2) ensuring all the data required to query Medicare’s database has been sourced for each claim.
LumenX – Easy, Accurate, Secure
Easy – LumenX is a web-based solution that requires no in-house hosting. It has user-friendly interface that makes it simple to find individual and aggregated information about Medicare reporting.
Accurate – All software updates are managed by Flagship and occur seamlessly, with no technological impact.We track Medicare’s constantly evolving regulations and procedures so you don’t have to. LumenX validates all data for errors before submitting your quarterly report. Incomplete data is flagged so the missing data can be inputted. The result is an industry-leading Medicare acceptance rate of 99.96%.
Secure – LumenX servers are fully redundant, and hosted in a state-of-the-art environment.
- Florida Federal District Court Concludes Medical Providers Are Not Subject to Double Damages Under MSP Act Private Cause of Action (3/15/2018) - Rafael Gonzalez, Esq. President, Flagship Services Group On March 2, 2018, the United States District Court for the Middle District of Florida, Orlando Division, published its opinion on MSPA Claims 1, LLC v. Halifax Health, Inc., in which the court found that a private right of action under the Medicare Secondary Payer Act, 42 U.S.C. […]
- New Work Comp MSA Review Contractor Starts 3/19/18; No Expected Changes and No News on Liability MSAs (3/14/2018) - Rafael Gonzalez, Esq. President, Flagship Services Group It has been a long time coming, two years to be exact. After the Centers for Medicare and Medicaid Services (CMS) announced their anticipated release of a solicitation for the Workers’ Compensation Review Contractor (WCRC) in 2016 and 2017 and further announced it was continuing to consider expanding […]