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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.

  • Are You My Mother? (12/3/2019) - In Dr. Seuss’ classic book, a determined baby bird is searching for his mother but does not know what she looks like. Under Medicare Secondary Payer (MSP), certain insurers encounter similar problems trying to figure out whether it is a Primary Plan with Section 111 and reimbursement obligations.
  • Into the Looking Glass (11/20/2019) - Business organizations face all kinds of risk. Developing strategic risk management plans as a business practice is becoming more prevalent across industry lines which help the organization define, measure, anticipate, and respond, for example, to foreseeable risks, technological developments, as well as changing laws and regulations. Some risk is insurable, while other kinds may necessitate capital, cost or other investment such as an organization adding new personnel or contracting with subject matter specialists or consultants. Some risk is not as perceptible as others, yet still must be handled if it occurs. Ideally, an effective risk management plan is tailored to the organization and ultimately improves its performance by avoiding, minimizing or mitigating risk.