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Live Webinar

90-minute live streaming program
  • August 23
  • 1:00 - 2:30 pm EST

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Medicare Secondary Payer Compliance: Today, Tomorrow and Beyond

August 23

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

Medicare Secondary Payer (MSP) compliance is complex and ever-evolving. This topoc 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.

Learning Objectives

- You will be able to identify Section 111 reporting landscape today, including current reporting thresholds, and the direct link between Section 111 reporting and conditional payments.

- You will be able to explain CMS' current polices as related to the voluntary review process of Workers' Compensation Medicare Set-Asides (WCMSA), including rules outlined in CMS' most current WCMSA reference guide.

- You will be able to review how MSP compliance is relevant to liability settlements.

- You will be able to identify advancements in medicine, pharmaceuticals and surgery cost drivers that may affect the resolution of a claim.

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Why Lorman?

Over 31 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.

Agenda

Legal and Regulatory Authority for MSP Enforcement
Mandatory Insurer Reporting
  • The MIR Landscape Today, and the Link to Conditional Payments
    • Who's Who in Reporting and Recovery (RREs and Their Agents)
    • How Reporting and Conditional Payment Recovery Work Hand in Hand
    • Changes Under the New Commercial Repayment Center (CRC) Contractor
WWMSAs and LMSAs Today
  • Where We Stand With the New CMS Review Contractor
  • WCMSA Reference Guide/ Discussion of CMS' Internal Rules/Zero Dollar MSAs and Considerations
    • IMR/UR/Alternative Treatment Plan
    • Amended Review, ReReview, and Challenges That Still Exist
  • LMSA and No-Fault Settlements, and Why MSP Compliance Is Relevant to These Settlements
    • Overview
    • Where We Stand Today With LMSA/NFMSA Review
    • Possible Impact on Claims
    • Matters to Consider as Related to Liability Settlements and Future Medical Expenses
Advancements in Medicine and Potential Cost-Drivers in Workers' Compensation Claims
  • Surgical Advancements
  • Technological Advancements
  • Pharmaceutical Advancements
  • Coming Soon to an MSA Near You
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Why Lorman?

Over 31 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.

Credits

OnDemand Webinar

This program does NOT qualify, nor meet the National Standard for NASBA accreditation.

Live Webinar Registration

  • AIPB 1.5
     
  • This program is acceptable for 1.5 CPEC(s) towards the CB designation through the American Institute of Professional Bookkeepers (AIPB).
     
  • AL CLE 1.5 (Pending)
     
  • AR CLE 1.5
     
  • This course has been approved for 1.5 hours of CLE by the Arkansas CLE Board.
     
  • Arizona CLE 1.5
     
  • The State Bar of Arizona does not approve or accredit CLE activities for the Mandatory Continuing Legal Education requirement. This activity may qualify for up to 1.5 hours toward your annual CLE requirement for the State Bar of Arizona.
     
  • CA MCLE 1.5
     
  • Lorman Business Center, Inc. is a State Bar of California approved MCLE sponsor and this course qualifies for 1.5 CLE hours of participatory credit.
     
  • CO CLE 2.0
     
  • This program may qualify for 2.0 credit hours through the Colorado Supreme Court Board of Continuing Legal and Judicial Education through reciprocity. This course is accredited in other jurisdictions such as New Jersey. To receive CLE credit for this program, a home study affidavit must be submitted to the Supreme Court Board of Continuing Legal and Judicial Education.
     
  • CT CLE 1.5
     
  • Neither the Connecticut Judicial Branch nor the Commission on Minimum Continuing Legal Education approve or accredit CLE providers or activities. This course has been approved for CLE credit in jurisdictions aside from CT and therefore it automatically meets the content and delivery requirements in Connecticut. Credit is based on a 60 minute credit hour and shall be awarded as follows: 1.5 CLE credit(s).
     
  • GA CLE 1.5
     
  • This program has been approved by the Georgia Commission on Continuing Lawyer Competency for 1.5 CLE hours.
     
  • HI CLE 1.5
     
  • This program was approved by the Hawaii State Board of Continuing Legal Education for 1.5 CLE credit hours.
     
  • IL CLE 1.5
     
  • This course was approved for a total of 1.5 hours of MCLE Credit by the Illinois MCLE Board.
     
  • ME CLE 1.5
     
  • This course has been approved by the State of Maine Board of Overseers of the Bar. Lawyers who complete this course shall receive 1.5 hours of CLE credit under M. Bar R. 12.
     
  • MS CLE 1.5 (Pending)
     
  • This program has been submitted to the Mississippi Commission on Continuing Legal Education. Approval pending.
     
  • MT CLE 1.5
     
  • This program has been approved by the Montana Commission of Continuing Legal Education for a total of 1.5 CLE credits.
     
  • NH MCLE 1.5
     
  • NH MCLE does not approve or accredit CLE activities for the NH Minimum CLE requirement. Lorman Education Services believes this course meets the requirement of NH Supreme Court Rule 53 and may qualify for CLE credit(s). Program Length: 90 Minutes.
     
  • NJ CLE 1.8
     
  • This program has been approved by the Board on Continuing Legal Education of the Supreme Court of New Jersey for 1.8 hours of total CLE credit.
     
  • NV CLE 1.5
     
  • This program has been approved by the Nevada Board of Continuing Legal Education for 1.5 CLE hours.
     
  • PA CLE 1.5
     
  • This Distance Learning program has been approved by the Pennsylvania Continuing Legal Education Board for 1.5 hours of substantive law, practice and procedure CLE credit.
     
  • RI CLE 1.5
     
  • This program has been approved by the Rhode Island Mandatory Continuing Legal Education Commission for 1.5 hours of CLE credit.
     
  • TN CLE 1.5 (Pending)
     
  • This program has been submitted as a distance learning format by the Tennessee Commission on Continuing Legal Education for a maximum of 1.5 hours of credit.
     
  • VT CLE 1.5
     
  • This program has been approved by the Mandatory Continuing Legal Education Board of Vermont for 1.5 hours of CLE credit.
     
  • WA CLE 1.5
     
  • This program has been approved by the Washington State Board of Continuing Legal Education for 1.5 hours of Law & Legal Procedure credit.
     
  • WI CLE 1.5
     
  • This program has been approved by the Board of Bar Examiners for 1.5 hours for use toward the Wisconsin Mandatory CLE requirement.
     
  • WV MCLE 1.8
     
  • This program has been approved by the West Virginia State Bar MCLE Commission for 1.8 MCLE hours.
     
  • HR Certification Institute 1.5
     
  • This program has been approved for 1.5 recertification credit hours toward general recertification through the HR Certification Institute. For more information about certification or recertification, please visit the HR Certification Institute website at www.hrci.org.
     
  • SHRM 1.5
     
  • Lorman Education Services is recognized by SHRM to offer Professional Development Credits (PDCs) for the SHRM-CPSM or SHRM-SCPSM. This program is valid for 1.5 PDC(s) for the SHRM-CP or SHRM-SCP. Please note: This program is considered self-paced. There is a 30 PDC maximum for self-paced programs. For more information about certification or recertification, please visit www.shrmcertification.org.
     
  • CPE 1.8 including Specialized Knowledge 1.8
     
  • Lorman Education Services is registered with the National Association of State Boards of Accountancy (NASBA) as a sponsor of continuing professional education on the National Registry of CPE Sponsors. State boards of accountancy have final authority on the acceptance of individual courses for CPE credit. Complaints regarding registered sponsors may be submitted to the National Registry of CPE Sponsors through its web site: https://www.nasbaregistry.org/cpas/complaints. For more information regarding administrative policies such as complaint and refund, please contact our offices at 866-352-9539. CPE Credit: Maximum Credit Hours: 1.8 each session (based on a 50 minute credit hour). You must attend at least 50 minutes to obtain credit. Field of Study: Specialized Knowledge for 1.8 hours. Prerequisite: basic knowledge of workers' compensation. Level of Knowledge: Intermediate. Teaching Method: Seminar/Lecture. Advance Preparation: None. Delivery Method: Group Internet Based. Please refer to the information in this brochure for outline, course content and objectives. Upon completion of this course, you will receive a certificate of attendance. Final approval of a course for CPE credit belongs with each state's regulatory board. Please note: In order to receive CPE credit for this course you MUST use the streaming audio option, as well as enable and complete the required progress checks.
     
  • Lorman Business Center, Inc. is a registered provider for CPA CPE through the State Education Department of New York, Sponsor number: 000640. The following course will carry the subject area of Specialized Knowledge and Applications for 1.5 hours.
     

Audio & Reference Manual

This program does NOT qualify, nor meet the National Standard for NASBA accreditation.

MP3 Download

This program does NOT qualify, nor meet the National Standard for NASBA accreditation.

Who should attend?

This live webinar is designed for workers' compensation adminstrators, human resource managers, benefits professionals, safety and compliance managers, insurance claims representatives, business owners and managers, risk managers and attorneys.

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Why Lorman?

Over 31 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.

Faculty

Jean S. Goldstein, JD

Jean S. Goldstein, JD

MEDVAL

  • Senior Legal Counsel, MSP Compliance
  • More than fifteen years of diverse legal experience, including class action litigation, estate planning, elder law, social security disability, and administrative proceedings
  • Invited speaker at 2017 NAMSAP Annual Meeting
  • Licensed attorney admitted to practice in the State of Maryland
  • Senior Legal Counsel, MSP Compliance at MEDVAL
  • Jean’s 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
  • Jean is also a nationally recognized blogger and author on Medicare Secondary Payer compliance and claims management
  • Jean 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)
  • Jean is a recognized national presenter on Medicare Secondary Payer compliance topics and frequently lectures to self-insured entities, insurance carriers, third-party administrators, law firms, and professional industry organizations
  • Can be contacted at [email protected]
Erin L. O'Neill, PA-C, JD

Erin L. O'Neill, PA-C, JD

MEDVAL

  • Sr. Managing Attorney/Clinical Director-Complex Claims Division
  • More than 23 years of a unique combination of medical and legal experience as a Nationally Certified Physician Assistant and Licensed Attorney admitted to practice in the state of Pennsylvania
  • Clinical Director at MEDVAL/Senior Managing Attorney
  • Invited speaker at 2016 NAMSAP Annual Meeting
  • Invited speaker at California Self-Insurers Association 2017 Annual Meeting and Educational Conference
  • Invited speaker at WorkCompCentral Medicare Secondary Payer Compliance and Legal Update, July 2017
  • Invited speaker at Northwestern Ohio Self-Insurers Educational Meeting, January 2018
  • Invited speaker at WorkCompCentral Live Florida Seminar, January 2018
  • Invited speaker at WorkCompCentral Live Texas Seminar, April 2018
  • Invited speaker at the upcoming 44th Annual Kansas Workers’ Compensation Seminar, September 2018
  • Invited speaker at the upcoming 2018 National Workers’ Compensation and Disability Conference, December 2018
  • Frequent provider of training in Medicare Secondary Payer Act Compliance and Medicare-Set-Asides to outside counsel and insurance companies
  • Can be contacted at [email protected]
Jessica M. Wingenroth, JD

Jessica M. Wingenroth, JD

MEDVAL

  • Director of Operations
  • Licensed attorney admitted to practice in the state of Pennsylvania
  • More than 14 years of experience in Medicare Secondary Payer compliance, coupled with a diverse legal background in workers’ compensation, general liability, and medical malpractice
  • Frequently requested to serve as a consultant in the areas of policy as related to Mandatory Insurer reporting questions and issues
  • Since joining MEDVAL, Jessica 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
  • Can be contacted at [email protected]
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Over 31 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.

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Product ID: 403939
Published 2017, 2018
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