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Section 111 Reporting System

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.

  • Civil Money Penalties (2/17/2020) - The Centers for Medicare and Medicaid Services (CMS) is set to release their proposed rulemaking for Civil Money Penalties (CMP’s) regarding Medicare reporting. CMS is expected to publish the proposed rule on Tuesday, February 18, 2020 and is accepting public comment for 60 days. The deadline to submit comments will be Monday, April 20, 2020.  […]
  • Robert J. Finley to Present at 5th Annual RISE Medicare Secondary Payer Master Class (1/29/2020) - Robert J. Finley, Partner with Hinshaw & Culbertson LLP and Chief Legal Consultant to Flagship Services Group, will provide a series of presentations at the 5th Annual RISE Medicare Secondary Payer Master Class, to be held February 3 – 4, 2020 in Jacksonville, Florida. The comprehensive two-day event is designed for mid to senior level management and legal professionals who are responsible for Medicare Secondary Payer compliance in risk management, finance, enforcement, and legal roles.