Summer Knowledge Series

During these complimentary sessions, you’ll hear from our experienced team on a variety of forward-looking Medicare Secondary Payer (MSP) related topics with a focus on offering insights that help you stay informed and stay ahead – of both compliance requirements and your competition.

Completed Webinars
Please email us for the password needed to access each recorded session.
August 23
2:00 pm ET
The (Mixed) Reviews Are In: Simplifying Mandatory Insurer Reporting
Section 111 Mandatory Insurer Reporting is on everyone’s mind these days. New Non-Group Health Plan User Guides seem to be coming out more frequently, Civil Monetary Penalties are anticipated in 2024 and what is an “Unsolicited Response File” anyway? Join us as we explore all things Section 111.

Key takeaways:

    • Discuss the information provided by CMS regarding Unsolicited Response Files during their townhall meeting on June 6 and explore any potential impacts on claim handling and settlement.
    • Examine changes to version 7.2 of the NGHP User Guide (released in June) and get a refresher on all Section 111 activities since the extension of the deadline for a ruling on Civil Monetary Penalties.
August 9
2:00 pm ET
That’s a Wrap: Finalizing the Settlement
Just getting to settlement on cases involving Medicare considerations can be challenging enough, but that is only one piece of the puzzle. Join us as we discuss the elements of finalizing the settlement including completing the CMS submission process, finishing documentation, securing funding, and providing administration.
Key takeaways:

    • Identify the Medicare Secondary Payer compliance items to be resolved at settlement and discuss when and how to utilize each option.
    • Discover how “post settlement” discussions and processes (like CMS submission, funding, and administration) can hold up final resolution of a case.
    • Discuss processes for CMS submission, funding, and administration, identify potential pain points, and review potential solutions.
July 26

 

Plot Twist: Considering Medicare’s Interests in Liability Settlements
Who Saw That Coming? While Medicare Secondary Payer for Workers’ Compensation has some structure to it (i.e., WCMSA Reference Guide), parties often find it more challenging to consider Medicare’s interests in liability settlements. This webinar will provide an overview of the various aspects of Medicare Secondary Payer (MSP) compliance as related to liability cases. We will also discuss Section 111 Mandatory Insurer Reporting and Conditional Payments for liability cases and how they may require more cooperation between the settling parties. Will we walk through Reporting and Lien Resolution on liability cases and review the importance of the settling parties’ agreement on the MSP pieces of the settlement.
Key takeaways:

    • Explore how considering Medicare’s interest in liability settlements differs from workers’ compensation cases and how that may broaden your options for resolution.
    • Discuss possible options for resolution.
    • Gain a better understanding of the importance of achieving agreement on the MSP related components of the settlement.
June 14

 

It Starts with a Script: Building a Cost-Effective Allocation
While the story continues to evolve, it is critical for you to stay informed to remain compliant and minimize risk in the rapidly changing Medicare Secondary payer compliance landscape. Join us as we explore the importance of pre-allocation mitigation, settlement consulting services, MSA options, understanding CMS trends and more.
Key takeaways:

  • Review your pre- and post-allocation mitigation options for the lowest defensible allocation.
  • Assess settlement tools and resources that can help you bring your claim to a close.
June 28

 

Finding the Right Talent: Establishing Medicare & Social Security Status
Determining whether a Medicare Set-Aside is appropriate is often linked to a claimant’s entitlement status. This webinar will explore the pathways to obtaining Social Security Disability and how that status relates to Medicare entitlement. We will also discuss the importance of evaluating CMS workload review thresholds and discuss the basics of Part A, Part B, Part C, and Part D.
Key takeaways:

    • Learn basic information about Social Security Disability and Medicare entitlement and the impact a beneficiary’s status can have on determining whether to request a Medicare Set-Aside.
    • Examine the thresholds for CMS review and discuss why being above the threshold does not equate to “needing” a Medicare Set Aside.
July 12
2:00 pm ET
Lights, Camera, Action: Exploring Conditional Payment Litigation
Join us as we review cases related to Conditional Payments with a particular focus on recent litigation involving LifeWallet (formerly MSP Recovery). We will discuss the elements of each case including arguments made to the Court, the court’s decision, and any impact those decisions may have on your Conditional Payment program.
Key takeaways:

    • Gain a better understanding of the current status of conditional payment litigation.
    • Learn what you can do to prevent these types of claims and recovery actions

Looking for a webinar from our last knowledge series?
Find links to watch the webinars on demand here.  

Your Presenters

Photo of Bridget Smith, IMPAXX Senior Vice President, National Accounts and Settlement Consulting in front of an out of focus office background
   

Bridget Smith
Sr. VP, National Accounts
and Settlement Consulting

Photo of Jennifer Shymanski, IMPAXX Vice President of Implementation and Strategy in front of an out of focus office background  

Jennifer Shymanski
Vice President,
Implementation and Strategy

Photo of Mark Heberling, IMPAXX Vice President of Settlement Consulting in front of an out of focus office background
 

Mark Heberling
Vice President,
Settlement Consulting

Photo of Patrick Czuprynski, IMPAXX Director of Lien Resolution in front of an out of focus office background
 

Patrick Czuprynski
Director,
Lien Resolution

Photo of Dawn Dietz, IMPAXX Assistant Vice President of Settlement Consulting in front of an out of focus office background
 

Dawn Dietz
Assistant VP,
Settlement Consulting

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latest industry news, offer analyses of CMS policy decisions, and deliver valuable
insights on MSP news while keeping our readers informed.

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