The live-streaming event will be held on February 9-10, 2021 and will feature 16 sessions and more than 20 industry leaders who will discuss critical topics and developments related to mandatory reporting, legislative updates, conditional payments, and Medicare set-asides.

If you’re a professional in auto, liability, no-fault, workers compensation claims, risk management, Medicare secondary payer compliance, or finance, you won’t want to miss The 6th Annual Medicare Secondary Payer Master Class. The two-day event will be a comprehensive deep dive into the intricacies of mandatory insurer reporting, reimbursement of conditional payments, and set aside allocations to pay for future medical needs related to such claims.

Check out a preview of session highlights and content themes for the virtual conference:

Mandatory reporting

The conference will start off with sessions related to mandatory reporting, including a close look at tactics to avoid civil money penalties from the Centers for Medicare & Medicaid Services (CMS). Frank Fairchok, CEO and owner, NGHP Solutions LLC, and Suzanne Jordan, SCHIP compliance manager, Broadspire, will review the necessary requirements under mandatory reporting to avoid costly errors, discuss how to improve reporting of correct ICD-10 codes to minimize possible penalties, and share recommendations to ensure correct and complete information related to total payment obligation to claimant is reported to Medicare.

Jennifer Sherber, counsel with Kansas Medical Mutual Insurance Company, and Susan Montoya, managing director, shared and vendor services, Medicare & debt resolution, Travelers, will lead a session to assure RREs do not fail to report appropriate NGHP beneficiary information. Sherber and Montoya will review how to avoid violations by assuring RRE self-regulation with CMS, explore the critical information required to report to CMS for claimant and accident to minimize potential errors, and share strategies on what and when to report to CMS if you accepted ORM (no-fault and work comp claims) or if you did not accept ORM (liability claims).

Medicare set-asides

Day one of the conference will also include three sessions that will break down the different options for Medicare set-asides, including:

  • An overview of the basics: traditional medically based Medicare set-asides with Jeff Knipper, MSCC, CMSP, VP of Medicare services, CCS Holdings, and Kevin Puckett, president, KP Underwriting, LLC.
  • The second option will explore data driven, medical guidelines based Medicare set-asides led by Deborah Pfeifle Watkins, president, Care Bridge International, and Monica Williams, RN, CCM, CRRN, LNC, MSCC, CMSP, CEO/president, Medicare & Workers Compensation Consultants.
  • The third option, presented by John V. Cattie, Jr., founding member, Cattie & Gonzalez, P.L.L.C., and Amy Bilton, J.D. MSCC, CMSP-F, shareholder, Nyhan Bambrick Kinzie & Lowry, will assess statutory and regulatory legally based Medicare set-asides.

Conditional payments in relation to the plaintiff and defendant

Day two of the virtual event will switch gears to evaluate conditional payments from the claimant and defendant perspectives.

The first half of day two will explore conditional payments in relation to the plaintiff, with session topics  that will address:

  • The value of the claimant being in control of liability claims
  • Strategies to deal with the Benefits Coordination and Recovery Center (BCRC) in the early stages of your claim
  • Tactics to work with the BCRC throughout the life of the claim
  • Best practices to deal with the BCRC post-settlement

During the afternoon sessions, industry leaders will focus on conditional payments in relation to the defendant:

  • The benefits of the primary payer having control in no-fault and workers compensation claims
  • Proven methods when working with the CRC pre-settlement and post-settlement
  • Valuable techniques when dealing with Medicare Advantage and prescription drug plans
  • Established strategies when working with the U.S. Department of Treasury and U.S. Department of Justice

Virtual event perks

The virtual conference will bring the latest developments and key strategies straight to your home office. Throughout the live presentations, attendees will be able to submit questions and feedback to speakers as well as interact with other attendees. There will also be scheduled breaks during the two days for attendees to engage and network virtually with colleagues and peers.

In addition, participants will have access to conference presentations for 90 days following the live event, making it easy to re-watch sessions or catch any presentations that attendees may have been missed.

To learn more about The 6th Annual Medicare Secondary Payer Master Class, including registration, full agenda, and list of speakers, click here.