Medicare Section 111 Reporting for Lawyers: Unravelling the Mystery and Understanding how it Impacts Claims Handling and Settlement

 Monday, October 18, 2021

Location: Online

Sponsor: Verisk


It is the silent 800-pound gorilla in the room that has a direct impact on Medicare compliance --- CMS’s Section 111 reporting law. As defense counsel are busy defending and settling the claim, their clients are reporting required claims info to Medicare which CMS then uses to help enforce its recovery rights. While defense counsel rarely pushes the Section 111 reporting buttons, they must understand how Section 111 reporting works and how it impacts larger compliance issues and settlement. This session provides counsel with a ‘nuts and bolts’ review of Section 111 and what they need to know about Medicare’s reporting law.
Topics include:
• Section 111 reporting – CMS’s objectives
• Who is (and is not) responsible to report under Section 111?
• When is Section 111 reporting required?
• What info gets reported to CMS?
• Where does defense counsel fit in?
• Tying it all together - claims and settlement impact

Attorney CLE credit available for the following limited and select jurisdictions: CA, FL, IL, LA, NY, PA, TX.

Who Should Attend:
SIU leaders, SIU analysts, investigators, claims executives and managers, data scientists