Live Teleconference – Medicare Secondary Payer Act – Protecting Medicare’s Interest In Insurance Settlements
Wednesday, March 12, 2008 – 1:00 PM to 2:30 PM EST
Pursuant to 42 U.S.C. Section 1395y(b)(2), commonly known as the Medicare Secondary Payer Act (MSP), Medicare may not make payment for medical benefits where “payment has been made, or can reasonably be expected to be made under a workmens’ compensation law or plan of the United States or a state or under an automobile or liability insurance policy or plan (including a self-insured plan) or under no fault insurance.” By law, Medicare has a priority right of recovery from the primary payer as well as from parties in receipt of third-party payments, such as a beneficiary, provider, supplier, physician, attorney, state agency, or private insurer (42 C.F.R. 411.24(g)).
Accordingly, it is essential that all parties to personal injury insurance settlements ensure that Medicare’s interests are protected and therefore of the utmost importance for all attorneys, insurance company personnel, and medical billing professionals to fully understand how and when the MSP applies in any given personal injury situation. You will benefit from an overview of all pertinent statutes and regulations as well as CMS interpretation of the same in its manuals and policies. Individual areas of law will be addressed separately as to the manner in which the MSP applies in each. Most significantly, workers’ compensation settlements will be discussed at length as CMS is most actively monitoring these types of claims and has established policies with respect to addressing past and future medical expenses in the settlement of claims. Liability settlements will be addressed as a hot topic since there is no established CMS guidance as there is in workers’ compensation, yet rumored to be CMS’s next target. You will walk away with valuable insight and a better understanding of Medicare’s role in insurance claims settlement.
II. Medicare as Secondary Payer
III. Medicare Liens – The Past
IV. Medicare Set-Aside Allocations – The Future
V. Settlement Tips
Who Should Attend:
Human resource directors, attorneys, safety directors, insurance claims representatives, occupational health nurses, business managers, benefits professionals, risk managers, and rehabilitation specialists
Faculty: Jennifer C. Jordan, MEDVAL, LLC
Credit: Call 1-866-352-9540 for a full list of continuing education credits.
One attendee may receive credit per registration. Additional attendees may receive credit by registering at the additional attendee discount price.
Phone: (866) 352-9539 (to register) / General Questions: (866) 352-9539