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CMS Announces Direct Data Entry Option

The Centers for Medicare and Medicaid Services (CMS) recently announced a more effective reporting option for “small reporting” Responsible Reporting Entities (RREs).  This new method, referred to as the Direct Data Entry (DDE) Option, is only available for those RREs who will be reporting 500 or fewer claim reports per calendar year.

Those RREs that are able to utilize this DDE Option will be able manually enter and submit their data rather than submit an electronic file over the Section 111 Coordination of Benefits Secure Website (COBSW).  Small reporters may register for DDE as a reporting option beginning October 1, 2010.  If an RRE has already registered under the current methods, the Account Manager for the RRE will be able to change their reporting method on or after October 4, 2010.  These small reporters will be able to begin reporting using this DDE option on January 3, 2011.

The CMS goes on to state that there will be no testing period required for RREs using the DDE option, and claim information should be submitted one claim at a time “as soon as conditions related to the claim require reporting under Section 111.”  Also, those small reporters using the query system should be aware that if an injured party’s information does not match up to a Medicare beneficiary during the DDE process, it WILL count toward the RREs limit of 500 claims per year.

It is important to note that RREs utilizing the DDE option have the same responsibilities as any other RREs.  While this does provide an easier alternative for those RREs that have a very limited number of claims to support, those RREs that are borderline should take precautions to assure that they do not exceed the 500 claims per year limit.

To view this latest memo in its entirety, please click here.

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