Articles and Speeches
Medicare Muscles Up: Complying with Medicare “Section 111” Mandatory Reporting
May 3, 2010
Cynthia Bankhead Hutto
, Eli A. Poliakoff
Reprinted with permission from South Carolina Lawyer
Section 111 of the Medicare, Medicaid and SCHIP Extension Act requires entities that resolve certain claims with Medicare beneficiaries to report details of the settlement to the federal government. These reporting obligations—and the $1,000 per day, per claim penalty for non-compliance— are not limited to insurers. Defendants subject to Section 111 should incorporate the reporting requirements into the claim evaluation and settlement process and take proactive steps to minimize exposure to penalties and liabilities.
