Courses:
Effective Strategies for Meeting MSA Obligations (6 Hours)
Course Fee is $105.09
Enrollment Options :
1. Online
>> << with a credit card.
2. Or call (805) 484-0333 to enroll.
3. Or
Fax Back the Enrollment Form.
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Overview:
While the workers' comp industry has generally come to accept its obligations under the Medicare Secondary Payer Act (42 USC 1395y(b)(2)), there continues to be a lack of understanding as to what is required by law and what is required by CMS. The mandate is that the claim settlement provides for future medical care to protect Medicare's interest, however there are many ways in which to accomplish that task. Submitting a Medicare Set-Aside Allocation proposal to the Centers for Medicare and Medicaid Services for approval is an option.
However, it is not the ONLY option. Many do not understand that the CMS approval process is voluntary and carries an inherent cost. How a payer or employer sets up the set-aside comes down to risk management. Learn when it's in an insurer/self-insurer's financial best interest not to ask Medicare's approval of a set-aside.
You will take away an understanding of:
- Statutory & regulatory requirements of the MSP
- CMS' MSP policies and a historic overview
- Overview of the Work Comp MSA review program
- Which WCMSA requirements overreach MSP requirements
- Identifying cases not to submit to CMS for review
- How to clean up your case for a better CMS outcome
- How to evaluate your vendor's MSA evaluations
- Financial options for funding MSAs
- When custodial management is appropriate
- MSP planning tips during settlement negotiation
- Strategies for presenting/demanding an MSA
- Recommendations for settlement language
Who Should Enroll:
Attorneys, Applicants & Defense Bars, General Counsels, I&A Officers, Self Insurers, Work Comp Program Managers, and any employer or union representative.
Continuing Education Credits:
6 Claims Professionals
6 Legal Specialization Credits
6 MCLE
Difficulty Level:
Moderate to intermediate. There will be a review of Medicare Set-Aside law, however, it is assumed that the student has some familiarity with the law and its application.
Cost:
Registration = $105.09
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