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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 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.

Runtime: 96 minutes
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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 course was last revised on August 23, 2018.

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

  • AIPB 1.5
     
  • This program is acceptable for 1.5 CPEC(s) towards the CB designation through the American Institute of Professional Bookkeepers (AIPB).
     
  • ASA 1.5
     
  • This program qualifies for 1.5 continuing education hour(s) towards maintaining your ASA credential. Please contact ASA for more information at certification@americanstaffing.net.
     
  • HR Certification Institute 1.5
     
  • This E-Learning 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. For more information about certification or recertification, please visit www.shrmcertification.org.
     

To earn each credit Lorman offers through the OnDemand learning platform, you need to watch 100% of the program. Also, for certain credits you will need to fulfill additional requirements which will be displayed on the "credits" tab when viewing the course.

  • Those applying for AIA and HRCI must view 100% of the program and answer the questions following the program.

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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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 jgoldstein@medval.com
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 eoneill@medval.com
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 jwingenroth@medval.com
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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.

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Product ID: 403939
Published 2018
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