Medicare Secondary Payer, Medicare Set-Asides and Mandatory Insurance Reporting in Personal Injury Litigation training seminars presented by NBI Inc.
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This basic-to-intermediate level course will provide guidance in Medicare Set-Aside compliance and will benefit: Attorneys, In-House Counsel, Insurance Claims Professionals, Paralegals
This engaging legal course includes in-depth discussions on mandatory insurer reporting, Medicare conditional payments, and Medicare Set-Asides. Get practical guidance in resolution of Medicaid liens and the creation and administration of special needs trusts. (see
full course description)
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Syllabus:
Proactively Address Medicare Liens to Prevent Follow-up Litigation
Medicare has redoubled the enforcement of its right of lien recovery under the Medicare Secondary Payer Act in injury claims and settlements. Do you know exactly when and how litigants must take Medicare's interests into account to ensure compliance and minimize its impact on settlement? This engaging legal course includes in-depth discussions on mandatory insurer reporting, Medicare conditional payments, and Medicare Set-Asides. Get practical guidance in resolution of Medicaid liens and the creation and administration of special needs trusts. Don't let the MMSEA derail your injury settlements - register today!
Explore the latest mandatory reporting requirements and lien resolution tactics under the MMSEA.
Learn how to effectively communicate with the Centers for Medicare and Medicaid Services.
Understand how settlement award monies can jeopardize the plaintiff's SSI and Medicaid eligibility and how to address it in settlement negotiations.
Find new ways of encouraging plaintiff/defense cooperation in ensuring lien compliance.
Get seasoned attorneys' guidance on effective introduction of liens at trial.
Make the best use of supplemental needs trusts to structure settlements and preserve your clients' government benefits eligibility.
An Overview of the Medicare Secondary Payer System 9:00 - 11:00, J. Bryan Moseley The history and background of the Medicare Secondary Payer Act
What is Medicare?
What is MSP?
Medicare's Private Right of Action
Basic Concepts You Need to Know and How the MSP Process Works
Statutes and Regulations Governing MSP
Responsibilities of Attorney and Client
General MSP Process
Getting Medical Providers to Submit Claims to Medicare
Common Issues When Dealing with the MSPRC
Finalizing Medicare Liens and Obtaining Waivers or Reductions
Recent Changes to the MSPRC Process
Taking Medicare's Interests Into Consideration: Mandatory Insurer Reporting 11:15 - 12:00, J. Bryan Moseley Overview of the current and projected mandatory insurer reporting landscape as set out by Section 111 of the Medicare/Medicaid, SCHIP Extension Act of 2007
The Contextual Background of the Act
Which Entities are Required to Report to the Government
What Information is Necessary for Reporting
The Penalties for Incomplete Submissions or Non-Compliance
The Effects of Reporting on the Litigants and Their Case
Medicare Set-Aside Allocations, Approvals, and Administration 1:00 - 1:45, J. Bryan Moseley
Medicare Set Aside (MSA) Allocations
MSA Approval Process
MSA Administration
Medicare Secondary Payer Act and CMS Memorandums
Maintaining an Ethical Practice 1:45 - 2:45, J. Bryan Moseley
Attorney's Duty of Competence, Diligence and Communication
Identifying and Preventing Conflicts of Interest
Protecting Client's Personal Information and Medical Records Treatment under HIPAA
New Rule Related to Attorney Signing onto Settlement Release
Resolving Disputes over Client's Settlement Funds
Protecting Supplemental Security Income and Medicaid Eligibility: Special Needs Trusts 3:00 - 4:30, Henry D. Fincher
Supplemental Security Income (SSI) Program Overview
Medicaid Program in a Nutshell
Resolving Claims in Which SSI and/or Medicaid Benefits are at Stake to Maintain Eligibility
Seminar Summary:
This engaging legal course includes in-depth discussions on mandatory insurer reporting, Medicare conditional payments, and Medicare Set-Asides. Get practical guidance in resolution of Medicaid liens and the creation and administration of special needs trusts. (see
full course description)