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Medicare Secondary Payer: What’s New (And Need to Know) in 2018

Product ID: CM2744
Presented By: State Bar of Wisconsin PINNACLE

Medicare may be a secondary payer in your client’s case, but it must be a primary concern when working towards a settlement or judgment. Fail to incorporate Medicare reimbursements in the award and you could end up paying Medicare out of your own pocket.

Medicare Secondary Payer: What’s New (And Need to Know) in 2018 is your guide to satisfying Medicare in a wide variety of situations, with discussions on:

  • Medicare Secondary Payer Act overview and compliance
  • Recent compliance changes in worker’s compensation and personal injury situations
  • Best practices for achieving compliance
  • Ethical obstacles to avoid
Read More ↓

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Medicare may be a secondary payer in your client’s case, but it must be a primary concern when working towards a settlement or judgment. Fail to incorporate Medicare reimbursements in the award and you could end up paying Medicare out of your own pocket.

Medicare Secondary Payer: What’s New (And Need to Know) in 2018 is your guide to satisfying Medicare in a wide variety of situations, with discussions on:

  • Medicare Secondary Payer Act overview and compliance
  • Recent compliance changes in worker’s compensation and personal injury situations
  • Best practices for achieving compliance
  • Ethical obstacles to avoid
Read More ↓

Program Chair and Presenter:

Aaron P. Frederickson
MSP Compliance Solutions LLC
St. Paul, MN

Presenters:

Karen Cofield, RN, CCM, QRP, MSCC, CMSP
MSP 360
Tampa, FL

Jean A. Fredricks
U.S. Attorney’s Office – Eastern District of Wisconsin
Milwaukee

Charles A. Guadagnino
U.S. Attorney’s Office – Eastern District of Wisconsin
Milwaukee

Chelsie D. Springstead
Lindner & Marsack, S.C.
Milwaukee
Lisa T. Warwick
U.S. Attorney’s Office – Eastern District of Wisconsin
Milwaukee

8:00 a.m. : Registration

8:30 a.m. : Welcome and Introductions

8:40 a.m. : Medicare Secondary Payer Act: A Brief History and What You Need to Know

  • Overview of Medicare Secondary Payer Act
  • How the Medicare Secondary Payer Act works
  • What you need to know in your practice

Aaron P. Frederickson, Chelsie D. Springstead

9:40 a.m. : Future Medicals in Worker’s Compensation and Other Injury Cases

  • Understand issues related to proactive compliance in workers’ compensation and injury cases including:
    o Using the Worker's Compensation Medicare Set-Aisde (WCMSA) Reference Guide
    o The voluntary review/approval process
    o Understanding (and using) the Medicare Secondary Payer Recovery Portal
    o Other recovery and collection processes

Karen Cofield, Chelsie D. Springstead

10:40 a.m. : Break

10:55 a.m. : Hot Topics in Medicare Secondary Payer Compliance

  • Understand how changes to effective compliance in workers’ compensation and personal injury practice impact your clients, including:
    o Recovery efforts related to Medicare Parts C and D Recovery
    o Private cause of action/False Claims Act recoveries
    o Future medicals in non-worker's compensation cases

Aaron P. Frederickson

11:50 a.m. : Lunch (on your own)

12:50 p.m. : U.S. Attorney’s Office Perspective: Medicare as a Subrogated Party in Tort Litigation

  • Receive a brief primer on Medicare Secondary Payer processes as they pertain to injury cases
  • Start a dialogue with the U.S. Attorney’s Office on how you can:
    o Work with the Office on conditional payment resolution matters
    o Obtain conditional payment summaries
    o Engage the U.S. Attorney’s Office in the settlement process

Jean A. Fredricks, Charles A. Guadagnino, Lisa T. Warwick

1:50 p.m. : Break

2:05 p.m. : Best Practices in Compliance – A Med/Legal Approach

  • Understand the benefits of a medical/legal approach to an effective compliance program
  • Discuss legal trends and use of drug utilization reviews, fee schedules, and pharmacogenetics testing
  • Cover the implementation of prescription drug formularies and its acceptance by CMS

Karen Cofield, Aaron P. Frederickson

3:05 p.m. : The Ethics of Medicare Secondary Payer Compliance

  • Explore the many obstacles you must avoid when confronting Medicare Secondary Payer issues and receive practical guidance

Moderator: Aaron P. Frederickson
Karen Cofield, Chelsie D. Springstead, Lisa T. Warwick

4:05 p.m. : Ask the Medicare Secondary Payer Experts

  • Have a question that did not get answered during the program, or want additional details on something discussed earlier in the program? This session is geared for you as our full panel of speakers will answer your questions.

Karen Cofield, Aaron P. Frederickson, Chelsie D. Springstead, Lisa T. Warwick

4:35 p.m. : Program Concludes

  • Review hot topics and ethical issues in Medicare Secondary Payer compliance
  • Hear from the U.S. Attorney's Office on how to work with them in conditional payment matters
  • Understand future medicals in worker's compensation and other injury cases
  • Explore the benefits of a medical/legal approach to effective Medicare Secondary Payer compliance
  • Worker's compensation lawyers
  • Personal injury lawyers
  • Elder law attorneys
  • Insurance claims professionals
  • General practitioners

Book Sale – Save 20%!

Worker’s Compensation Handbook

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Use discount code CA2738 when you order online or by calling (800) 728-7788.

*Discount applies to both print and digital Books UnBound® editions of this title and cannot be applied to previous purchases. Offer valid as long as CLE credit is available for this program. For Books UnBound users, discount may be applied to purchase of individual Books UnBound title only and may not be used on purchase of full library.

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