Agenda

February 3, 2020

7:50AM – 8:50AM
Registration and Networking Breakfast

8:50AM – 9:00AM

Welcome Remarks

Rafael Gonzalez, Esq., President, Settlement Solutions, Workers Compensation and Auto No-Fault

UnitedHealth Group/Optum

9:00AM – 9:45AM

Legislative and Legal: An Analysis of the Impact of the New Civil Monetary Penalty Rules

  • Interpret the new civil monetary penalty rules regarding mandatory reporting non-compliance
  • Discuss changes and concerns related to the new CMPs
  • Distinguish if the rules will apply retroactively and the possibility of RREs disputing or appealing penalties

 

Frank Fairchok, VP, Medicare Reporting and Development

Optum Work Comp and Auto No-Fault

 

Vanessa Lipsky, Partner/Section Lead Medicare Compliance Department

Eraclides Gelman Attorneys at Law

9:45AM – 10:45AM

Legislative and Legal: A discussion on the Significance of the New Medicare Set-Aside Regulations

  • Evaluate if Medicare set-asides are now mandatory in auto, liability, no-fault, and work comp cases
  • Clarify if submission of MSAs to CMS for review is still voluntary
  • Differentiate between Workers Compensation, Liability and No-Fault MSAs

 

Rafael Gonzalez, Esq., President, Settlement Solutions, Workers Compensation and Auto No-Fault

UnitedHealth Group/Optum

 

Heather Hatch, Partner

The Chartwell Law Offices, LLP

10:45AM – 11:00AM
Networking Break
11:00AM – 11:45AM
Legislative and Legal: Deep Dive: Update on Pending Workers Compensation Medicare Set Asides Legislation
  • Analyze the positive and negative points of WCMSA legislation introduced in 2019
  • Consider the actions taken by the WCMSA contractor regarding life expectancy, medical care, and prescriptions
  • Examine current MSA trends on work comp medical, ancillary, and pharmacy

 

Kevin Tribout, Executive Director, Government Relations

Optum Work Comp and Auto No-Fault

 

Doug Holmes, Esq., President

UWC

February 4, 2020