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Medicare Secondary Payer Compliance: Today, Tomorrow and Beyond

 

Gain a better understanding of the Medicare Secondary Payer compliance requirements.

Medicare Secondary Payer (MSP) compliance is complex and ever-evolving. This topic will provide an update on current MSP compliance processes and will provide an easy-to-digest review of where MSP compliance stands today, tomorrow, and beyond. The content will provide listeners with an in-depth look of where Section 111 Mandatory Insurer Reporting stands today, what the future may hold in consideration of the ever-changing CMS voluntary review process, as related to both Workers' Compensation Medicare Set-Asides, Liability Medicare Set-Asides and No Fault Medicare Set-Asides, coupled with advancements in medicine and cost drivers that in consideration as a whole, may affect your ability to obtain resolution for your claims. Join our team as they provide a look at the current state of MSP compliance processes and current trends that may impact your claims.

Agenda

Faculty

Jean S. Goldstein, J.D.

Jean S. Goldstein, J.D.

MEDVAL

  • Senior legal counsel, MSP Compliance at MEDVAL
  • Her focus at MEDVAL is on Medicare issues involving liability, no-fault, and workers’ compensation claims, and finding settlement solutions in the best interest of all parties
  • Licensed attorney admitted to practice in the State of Maryland
  • Over 15 years of diverse legal experience, including class action litigation, estate planning, elder law, and administrative proceedings
  • Invited speaker at 2017 and 2018 National Alliance of Medicare Set-Aside Professional’s Annual Conference
  • Invited speaker at the 2018 California Self-Insurers Association’s Fall Conference
  • Invited speaker at the upcoming RISE Medicare Secondary Payer Master Class
  • Nationally recognized blogger and author on Medicare Secondary Payer compliance and claims management, and frequently presents to self-insured entities, insurance carriers, third-party administrators, law firms, and professional industry organizations
  • Has been instrumental in settling claims nationwide, particularly in saving MEDVAL’s clients millions of dollars in re-review responses/appeals from the Centers for Medicare and Medicaid Services (CMS)
Jessica M. Wingenroth, J.D.

Jessica M. Wingenroth, J.D.

MEDVAL

  • Vice president, Operations at MEDVAL
  • Over 15 years of experience in Medicare Secondary Payer compliance, coupled with a diverse legal background in workers’ compensation, general liability, and medical malpractice
  • Licensed attorney admitted to practice in the state of Pennsylvania
  • Frequently requested to serve as a consultant in the areas of policy as related to Mandatory Insurer reporting questions and issues
  • Since joining MEDVAL, she has assisted insurers of various sizes with building, implementing, and restructuring in-house reporting programs to ensure compliance
  • Frequently requested and invited to provide client training as related to MSP compliance and Mandatory Insurer reporting
Chandra R. Johnson, R.N., J.D.

Chandra R. Johnson, R.N., J.D.

MEDVAL

  • Senior MSA analyst at MEDVAL
  • Since joining MEDVAL in 2010, she has worked on the most complex of claims including cases involving, spinal cord injuries, amputations, traumatic brain injuries, various forms of industrially related cancers, and a range of industrial cardiovascular and pulmonary issues
  • Licensed attorney admitted to practice in the Commonwealth of Virginia
  • Over 13 years of experience working in a variety of health care settings including acute care, home health, and inpatient rehabilitation
  • Frequently consulted by clients to bridge the gap between medicine and Medicare Secondary Payer compliance

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