Learn about the latest issues impacting future medical expenses and Medicare.
This topic will focus on Medicare compliance in workers' compensation and liability cases in which future medical expenses are likely to be incurred. Explore the legal obligations of injured persons, insurers, and employers in compliance with the Medicare Secondary Payer Act when settling workers' compensation and liability cases. Explore alternatives to submission for CMS approval as a means of compliance. This information advocates a reasoned approach to allocating for the Medicare Set-Aside and to deciding whether submission for approval is advisable considering anecdotal evidence of MSA overfunding.
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Why Lorman?
Over 37 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.
Agenda
General Medicare Considerations
The Legal Basis for Medicare Compliance in Workers' Compensation and Liability Cases
Medicare Compliance Areas
Consequences of Noncompliance
Advantages of Medicare Approval
Considerations When Submitting Cases for Medicare Approval
Medicare Approval Horror Stories
The High Cost of the Overfunding Problem
Conclusion: the Goal
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Why Lorman?
Over 37 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.
Credits
OnDemand Course
This course was last revised on May 14, 2020.
Call 1-866-352-9540 for further credit information.
- CA MCLE 1.5
- Lorman Education Services is a State Bar of California approved MCLE sponsor and this course qualifies for 1.5 CLE hours of participatory credit.
To earn each credit Lorman offers through the OnDemand learning platform, you need to watch 100% of the program. Also, for certain credits you will need to fulfill additional requirements which will be displayed on the "credits" tab when viewing the course.
This program does NOT qualify, nor meet the National Standard for NASBA accreditation.
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Credit
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Why Lorman?
Over 37 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.
Faculty
Aaron Frederickson
MSP Compliance Solutions, LLC
- Legal practice experience in the areas of workers’ compensation, personal injury, and Medicare/Medicaid compliance
- A health insurance professional who brings a passion to educating his peers
- Has litigated countless cases and founded a compliance consulting firm where he helped numerous individuals from diverse backgrounds across the United States
- Passions include assisting low-income persons via pro bono legal representation
- Licensed to practice law in Minnesota since 2002, as well as Wisconsin since 2008
- J.D. degree, William Mitchell College of Law; B.A. degree, St. Cloud State University
- Can be contacted at [email protected] or 651-485-7036
Deborah Robinson Stewart
GENEX Services, Inc
- National manager of Medicare Set-Aside Services (MSA) at GENEX Services, Inc and is responsible for the daily operations and oversight of the MSA department
- Experienced in handling Medicare Secondary Payer Compliance matters and stays on top of legal and regulatory developments and emerging policy changes that impact the workers' compensation, managed care, and Medicare fields
- Routinely consults with clients on medically and legally challenging cases and provides guidance on compliance issues stemming from settlement of workers’ compensation and liability claims
- Prior experience includes working as a CMS contractor adjudicating health care disputes involving Medicare services and Medicare Secondary Payer matters
- Was also engaged in the practice of law representing clients in personal injury, medical negligence, workers’ compensation, insurance coverage, and estate matters
- Member of the Pennsylvania bar, a volunteer with Neighborhood Meals on Wheels, and a member of the board of the Neighborhood Bike Works
- J.D. degree, Villanova University School of Law; B.A. degree, University of Virginia
- Can be contacted at 610-964-5264 or [email protected]
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Why Lorman?
Over 37 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.
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