Show navigation

Available in:

OnDemand Webinar
Audio & Reference Manual
MP3 Download

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 evolving. This topic will provide an update on current MSP compliance processes, 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 review process, with the potential for review of 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. The material will provide an easy-to-digest review of where MSP compliance stands today, tomorrow, and beyond.

Runtime: 86 minutes
Purchase Options

More Program Information

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

Mandatory Insurer Reporting

  • MIR Landscape Today, and Challenges

- Reporting and Conditional Payment Recovery Working Hand in Hand

- 2017 Reporting and Recovery Thresholds

- The Significance of ICD Diagnosis Codes

- The Role of the Recovery Agent

WCMSAs Today

  • CMS WCMSA Review Contractor Status
  • WCMSA Revised Reference Guide/Internal Rules (If Issued)
  • Challenges With CMS Review Today
  • Where We Stand in Consideration of New Contractor
  • Re-Review Process, as It Stands Today

Medicare Secondary Payer Compliance Regarding Liability Insurance and No-Fault Insurance Settlements

  • Statute/Memo/Publication

- 42 U.S.C. 1395Y(B)(2)(a)(II)

- CMS Memo, Dated September 30, 2011

- CMS Publication - MLN Matters Article, Dated February 3, 2017

  • Liability Insurance and No-Fault Insurance Settlements

- When Might an MSA Be Appropriate?

- Liability MSAs (LMSA)/No-Fault MSAs (NFMSA)

- WCRC RFP - Possible Expansion of Review to Include Liability Settlements

  • Matters to Consider Regarding Liability Settlements and Future Medical Expenses

- Settlement for Less Than Full Value

- Policy Limits, Statutory Tort Caps, Negligence Rules

- Determining the Amount to Be Set-Aside, If Any

- CMS Guidance Coming in October 2017?

Advancements in Medicine and Potential Cost-Drivers in Workers' Compensation Claims

  • Surgical Advancements
  • Technological Advancements
  • Pharmaceutical Advancements
  • Coming Soon to an MSA Near You
Purchase Options

More Program Information

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.

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.

Purchase Options

More Program Information

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

Jennifer A. Alvarez, MBA, JD, LL.M, RN

Jennifer A. Alvarez, MBA, JD, LL.M, RN

MEDVAL

  • Director of Client Risk Assessment & Compliance Programs
  • Licensed Attorney admitted to practice in the State of Maryland and Registered Nurse with more than 20 years combined legal/medical experience in the areas of MSP Compliance, Estates Planning, Trust Administration, Asset Protection, and Disability Planning
  • Director of Client Risk Assessment & Compliance Programs at MEDVAL
  • For the last 10 years, has provided consultation services to plaintiffs' attorneys, defense attorneys, self-insureds, and insurance companies regarding liability settlements and MSP compliance
  • Can be contacted at jalvarez@medval.com
Jean S. Goldstein, JD

Jean S. Goldstein, JD

MEDVAL

  • Legal & Corporate Affairs Manager at MEDVAL
  • Licensed attorney admitted to practice in the State of Maryland, with a diverse legal background in class action litigation, estate planning, elder law, social security disability, and administrative proceedings
  • Invited speaker at the 2017 NAMSAP Annual Meeting
  • Year to date responsible for savings for clients of nearly $4 million dollars in re-review responses/appeals from the Centers for Medicare and Medicaid Services (CMS)
  • With a keen understanding of Medicare Secondary Payer compliance, she is often consulted to offer insight, direction, and training to insurance carriers and outside counsel, on topics ranging from CMS’ voluntary review program, CMS policies, practice tips, and general Medicare Secondary Payer compliance, including conditional payment resolution
  • Can be contacted at jgoldstein@medval.com
Erin L. O'Neill, PA-C, JD

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

MEDVAL

  • Senior managing attorney/clinical director-Complex Claims Division at MEDVAL
  • More than 20 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
  • Invited speaker at 2016 NAMSAP Annual Meeting
  • Invited speaker at California Self-Insurers Association 2017 annual Meeting and Educational Conference
  • 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 at MEDVAL
  • Licensed attorney admitted to practice in the state of Pennsylvania
  • More than 13 years of experience in Medicare Secondary Payer compliance, as applicable to both workers’ compensation and general liability claims
  • MEDVAL’s dedicated consultant in the area of policy as related to Mandatory Insurer Reporting, assisting insurers of various sizes with building, implementing, and auditing in-house reporting programs to ensure compliance
  • Frequently invited to provide in-house seminars and training related to MSP compliance, including Mandatory Insurer Reporting, Conditional Payments and the role of Medicare Set-Aside Arrangements in settlements
Purchase Options

More Program Information

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.

All of your training, right here at Lorman.

Pay once and get a full year of unlimited training in any format, any time!

  • Live Webinars
  • OnDemand Webinars
  • MP3 Downloads
  • Course Manuals
  • Audio Recordings*
  • Executive Reports
  • White Papers and Articles
  • Sponsored Live Webinars

Additional benefits include:

  • State Specific Credit Tracker
  • Members Only Newsletter
  • All-Access Pass Course Concierge

* For audio recordings you only pay shipping

Questions? Call 877-296-2169 to speak with a real person.

Sign Up Today
With This Course

Access to all training products for one year
$699/year

Unlimited Lorman Training

With the All-Access Pass there is no guessing what you will need for your yearly training budget. $699 will cover all of your training needs for an entire year!

Easy Registrations

Once you purchase your All-Access Pass you will never be any further than one-click away from attending any Lorman training course.

Invest in Yourself

You haven't gotten to where you are professionally by luck alone; it's taken a lot of hard work and training. Invest in yourself with the All-Access Pass.

Product ID: 400760
Published 2017
Purchase Options

Available in Multiple Formats

Purchase this course and learn on your schedule!