The Program - Day 1
History of Medicare Secondary Payer Evolution
The first section of the program briefly reviews the history and overview of Medicare Secondary Payer evolution from 1965 to today. It also includes an overview of workers' compensation.
Medicare Secondary Payer Act
This section will discuss the framework for the Medicare Secondary Payer Act. There will be a review of regulations and amendments.
Specialty Claims
This section will discuss the intricacies of specialty claims and the MSP Act.
Discussion of CMS Memos
There will be a review of all memos and details regarding CMS written policy and procedures.
CMS Structure
An overview of who the entities/players (acronyms) are and how they function.
Structured Settlements and Case Resolution - MSAs, SNTs, QSF
This area of discussion includes case settlements and case resolution's impact on the Medicare Secondary Payer.
Liability Claims - How are They Different from WC?
This area of discussion includes case settlements and case resolution's impact on the Medicare Secondary Payer.
The first section of the program briefly reviews the history and overview of Medicare Secondary Payer evolution from 1965 to today. It also includes an overview of workers' compensation.
- What is Workers' Compensation
- The Benefits in Workers' Compensation
- How Medicare is Impacted
- PPD, TTD, Defenses
- Differences in State Systems
This section will discuss the framework for the Medicare Secondary Payer Act. There will be a review of regulations and amendments.
- MSP Regulations and Amendments
- Future Medicare Payments vs. Past (Conditional Payments)
- Potential Consequences of non compliance - Future vs. Past
- Legal Update
This section will discuss the intricacies of specialty claims and the MSP Act.
- Longshore and Harbor Workers' Compensation Act
- FELA Claims
- Railroad Claims
There will be a review of all memos and details regarding CMS written policy and procedures.
CMS Structure
An overview of who the entities/players (acronyms) are and how they function.
- Role of Attorney
- Role of the Allocator
- Role of the Carrier
- Structured Settlement Broker
- Medicare and Social Security Administration
- CMS
- CMS RO
- CMS Central Office
- MSP Central Office
- WCRC - JV
- MSPRC
- COBC
This area of discussion includes case settlements and case resolution's impact on the Medicare Secondary Payer.
- Annuities and Structures
- Special Needs Trust
- MSA Funding - Lump Sum vs. Structure
- Role of Structure Settlement Consultant
- Various Structure Vehicles
- Calculation of the Initial and Annual
- Payment for a Structured MSA Arrangement
- Rated Age
- Life expectancy
This area of discussion includes case settlements and case resolution's impact on the Medicare Secondary Payer.