2022 Knowledge Series
Innovation at Work
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.
All webinars in the series are hosted on Tuesdays at 2:00 pm ET. As they will not last a full 60 minutes, CEUs will not be offered for any webinar in the series.
| May 24 | Section 111 Reporting With Civil Money Penalties in the process of being finalized, taking control of your Section 111 Reporting is now more imperative than ever. We will review what is needed to create a compliant program and how to identify gaps in your reporting process. |
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| May 31 |
Structured Settlements |
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| June 7 | Legal Tools: Orders, Statutes, and More Each case is unique. And your compliance program should have the tools to help you address each one. This webinar will focus on some of the less well known MSP resolution options. |
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| June 14 | What’s New with CMS Keeping up with CMS can be a challenge. Join us as we review recent developments and changes with CMS. We will tackle popular topics such as Civil Money Penalties, possible rules for liability MSAs, and non-submit MSAs. |
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| June 21 | Conditional Payments: Premise Liability and Auto Premise liability, Med Pay, PIP, and Auto No-Fault policies may require a carrier/self-insured to report Ongoing Responsibility for Medical (ORM), Total Payment Obligation to Claimant (TPOC), or Settlement (if a Medicare beneficiary is involved). We will cover issues surrounding these circumstances as they relate to Medicare conditional payments such as policy exhaustion, Section 111 Reporting, and defending reimbursement requests in excess of policy limits. |
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| June 28 | Conditional Payments: Re-Open Process Medicare’s federal regulations allow a debtor to request Medicare revise its initial determination or redetermination within one year for any reason, within four years for good cause, and at any time for clerical error. We will discuss the use of these requests and the relief Medicare is providing in response. |
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| July 5 | The PAID Act Revisited With greater data, comes greater responsibility! We will refresh our understanding of the Provide Accurate Information Directly (PAID) Act and Medicare Advantage Plan/Part C and Part D plan information. We will also revisit the impact and timing of Civil Money Penalties on Responsible Reporting Entities (RREs). |
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| July 12 | How Data, Technology and Artificial Intelligence Helps with Claims We will review how data, technology, and artificial intelligence can be appropriately utilized as part of your Medicare Secondary Payer and claims process. |
Completed Webinars
| May 10 | Non-Submitted MSAs and CMS – Impact of WCMSA Reference Guide Section 4.3 Section 4.3 of Workers’ Compensation Medicare Set-Aside Reference Guide regarding the use of Non-Submits has been a source of much confusion. We will break down the original text, needed revisions, and the interplay between the statute and regulations. Join us for this can’t miss session. |
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| May 17 | Conditional Payments: Typical Conditional Payment Issues The conditional payment process can cause unwanted additional expenses and can force parties to make payment for medical expenses that otherwise would not require reimbursement. We will discuss the usual appeal process, reopen requests and waiver requests, and when each option may be available. |
Your Presenters
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Bridget Smith
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Jennifer Shymanski
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Patrick Czuprynski
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Explore Our Blog
Beyond our knowledge series, our teammates regularly provide observations on the
latest industry news, offer analyses of CMS policy decisions, and deliver valuable
insights on MSP news while keeping our readers informed.