Medicare Secondary Payer Compliance in a Nutshell

Wednesday, December 14, 2022 – Noon

The Ritz-Carlton
1515 W 3rd St,
Cleveland, OH 44113

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COMING SOON

The Cleveland Academy of Trial Attorneys is pleased to promote Medicare Secondary Payer Compliance in a Nutshell.

DANIEL J. ALVAREZ

RASA FUMAGALLI, JD, MSCC, CMSP-F

Medicare Secondary Payer Compliance in a Nutshell

I         Medicare Secondary Payer Compliance Obligations  (10 minutes)

  1. Overview of Medicare
  2. Medicare Secondary Payer Act
    1. Liability
    2. Workers’ Comp
    3. Global settlements
  3. Status of Notice of Proposed Rule Making
  4. Behind the Scenes with CMS
  5. MSP Compliance Wheel
    1. Conditional Payments
    2. Medicare Set-Asides
    3. Section 111 reporting

II        Conditional Payments /Medicare Advantage Plans (25 minutes)

  1. Traditional Medicare CP recovery process
  2. Waiver/Refund
  3. MA benefits are Medicare benefits
  4. MA plans must enforce the MSP rules

III       Medicare Set-Asides/ MSA Administration (15 minutes)

  1. What?
  2. Why?
  3. How?
  4. Alternatives

IV       Section 111 Reporting (10 minutes)

  1. What is it?

Who does it and why?

1.0 HOUR CLE PENDING APPROVAL

Special Thanks to CATA’s Presenting Sponsor:

Filed Under: Blog