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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.

Runtime: 88 minutes
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Why Lorman?

Over 32 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 32 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 course was last revised on February 19, 2019.

Call 1-866-352-9540 for further credit information.

  • ASA 1.25
     
  • This program qualifies for 1.25 continuing education hour(s) towards maintaining your ASA credential. Please contact ASA for more information at [email protected]
     
  • SHRM 1.25
     
  • 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 1.25 PDC(s) for the SHRM-CP or SHRM-SCP. For more information about certification or recertification, please visit www.shrmcertification.org.
     

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

Audio & Reference Manual

  • Arizona CLE 1.5
     
  • CA MCLE 1.5
     
  • CT CLE 1.5
     
  • GA CLE 1.5
     
  • HI CLE 1.5
     
  • IL CLE 1.5
     
  • ME CLE 1.5
     
  • MT CLE 1.5
     
  • NJ CLE 1.8
     
  • NV CLE 1.5
     
  • VT CLE 1.5
     
  • WA CLE 1.5
     
  • WV MCLE 1.8
     
The CLE Code is ONLY a requirement when applying for CLE Credit in California (for participatory credit), Kansas, New Jersey or New York. Other states do not need to supply the CLE Code to apply for CLE credit.

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

MP3 Download

  • Arizona CLE 1.5
     
  • CA MCLE 1.5
     
  • CT CLE 1.5
     
  • HI CLE 1.5
     
  • IL CLE 1.5
     
  • ME CLE 1.5
     
  • MT CLE 1.5
     
  • NJ CLE 1.8
     
  • NV CLE 1.5
     
  • VT CLE 1.5
     
  • WA CLE 1.5
     
  • WV MCLE 1.8
     
The CLE Code is ONLY a requirement when applying for CLE Credit in California (for participatory credit), Kansas, New Jersey or New York. Other states do not need to supply the CLE Code to apply for CLE credit.

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

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More Program Information

Why Lorman?

Over 32 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, 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 workersí 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 Professionalís Annual Conference
  • Invited speaker at the 2018 California Self-Insurers Associationís 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 MEDVALís clients millions of dollars in re-review responses/appeals from the Centers for Medicare and Medicaid Services (CMS)
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
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 workersí 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
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Why Lorman?

Over 32 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: 404895
Published 2019
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