We are familiar and conversant with the practical implications and sequelae of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (MMSEA) in general, and with the MMSEA Section 111 reporting requirements in particular. We have expertise in the logistical protocols that have been established by the Centers for Medicare and Medicaid Services (CMS) and the Coordination of Benefits Contactor (COBC) for Section 111. Thus, we can provide excellent services as an Agent for an organization that is considered to be a Responsible Reporting Entity (RRE) under the Act. Our services also include capabilities to prepare, review, and file reports for the National Practitioner Data Bank.

The obligations of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (MMSEA) create a new array of compliance issues for entities governed by the Act. In addition to ongoing compliance mandates with the existing provisions of Medicare Secondary Payer (MSP), Responsible Reporting Entities (RRE) are now subject to fulfillment of reporting obligations that are extensive, complex, and technical. The Centers for Medicare and Medicaid Services (CMS) has published significant regulations applicable to this mandate. The resources of DULAC, Inc., are poised to assist RREs with compliance obligations and to offer unique services, as part of an overall, comprehensive solution to the challenges presented by federal mandates.

Our Services

Furnished by professionals in the clinical, claims, and risk fields – focus on practical, hands-on assistance with Section 111 reporting:

• Assess RRE Status
• Select file transmission method
• Complete registration
• Provide data system
• Establish file review protocols
• Extract, collect data
• Analyze report elements, particularly ICD codes
• Populate report
• Submit to RRE for review
• File Section 111 report with CMS
• Manage all CMS feedback loops

Our goal is to provide the RRE with the complete spectrum of substantive and logistical resources necessary for compliance, thus eliminating the need for the RRE to enhance or reassign existing staff resources.