Section 111 Reporting Audit Services

Achieve Compliant Mandatory Insurer Reporting

From the time that the Medicare, Medicaid and SCHIP Extension Act of 2007 (MMSEA) was introduced, the federal requirement generated widespread uncertainty and concern. With our clear and comprehensive understanding of MMSEA Section 111 Reporting, MEDVAL senior staff are frequently called upon to provide consulting services and to offer training on this subject matter nationwide.

While there is no one-size-fits-all solution, most MEDVAL clients have made the strategic decision to develop their own internal programs for MMSEA Section 111 Reporting. MEDVAL can assist with this approach, offering expert guidance, recommending appropriate protocols, and helping your staff execute your compliance strategy. We can also offer a bridge to support your internal program development by serving as your reporting agent while concurrently assisting development of your internal program.

MEDVAL also provides a fully-integrated solution to ensure that data reported to CMS meets all data quality rules. Responsible Reporting Entities should revisit internal protocols and processes periodically to ensure that only clean data is being reported. MEDVAL’s solution offer insights into:

  • Claim status
  • Claims by RRE
  • Total claims vs. Medicare eligible claims
  • Queries in errors
  • Queries to submit
  • Claims in error
  • Claim status
  • Important dates

In all cases, we offer attention, diligence, and transparency in our approach.

In addition, MEDVAL has added 111 Reporter, which gives you the tools you need to proactively and successfully manage your Mandatory Insurer Reporting process.

“I appreciate the responsiveness of your staff. They are great to work with and feel like an extension of our department, which is awesome.”

Manager of Utilization Management

Omaha, NE