Welcome Remarks and Tactics to Avoid Civil Money Penalties from CMS
Preview Available
Identification: TUE001
Welcome Remarks
Preview Available
Identification: TUE01
Speaker(s):Tactics to Avoid Civil Money Penalties from CMS
Preview Available
Identification: TUE02
• Analyze all necessary requirements under mandatory reporting to avoid financially costly errors
• Discuss ongoing responsibility for medical to reduce possibility of receiving CMPs
• Improve reporting of correct ICD-10 codes to minimize chances of obtaining penalties
• Ensure correct and complete information is reported to Medicare related to Total Payment Obligation to Claimant
Identification: TUE03
• Avoid violations by assuring RRE self-registration with CMS for purposes of completing mandatory reporting
• Examine which critical information is needed to report to CMS for claimant and accident to minimize potential errors
• Strategies on what and when to report to CMS if you accepted ORM (no-fault and work comp claims) or did not accept ORM (liability claims)
Analyze Possible Penalties for NGHP When Contradicting MIR Response Through CMS Recovery Efforts
Preview Available
Identification: TUE04
• Maintain consistent reporting thru conditional payment resolution process, even when challenging Medicare’s entitlement for reimbursement
• Comprehend the impact of under reporting medical impairments related to the claim in relation to CMS recovery efforts
• Discuss the effect of over reporting unrelated medical impairments throughout life of claim
Avoid Costly Mistakes- Staying Away from NGHP Exceeding CMS Error Tolerance Thresholds
Preview Available
Identification: TUE05
• Utilize innovative approaches to drastically reduce errors in all pertinent information reported to CMS to avoid costly penalties
• Examine the financial significance of exceeding the threshold error rate of 20% and strategies to reduce error rate
• Lesson Learned: Accept errors as an opportunity to improve reporting methods each quarter to avoid red flags and costly penalties
Virtual Networking Lobby
Preview Available
Identification: VNL1
Don’t Miss Out! Turn on your camera and join us in the Virtual Lobby for that face-to-face networking experience we’ve all been missing. Connecting with your peers and vendors including MSP professionals from across the country never been easier - click on an open seat, say hello to familiar faces, and take part in conditional payments, Medicare Set-Asides, and mandatory reporting discussions. We’ll see you in the lobby!
And Still……. No Federal Regulations for MSA’s from CMS
Preview Available
Identification: TUE06
• Analyze statutory provisions of Medicare Secondary Payer law to understand CMS requirements for all parties
• Review of the current limited regulations in the workers compensation arena to comprehend CMS perspective on MSAs
• Examine case law at Federal level nationwide on the requirements for MSAs to grasp CMS conditions for all stakeholders
Identification: TUE07
• Determine life expectancy of injured party to identify cost of care for future medical needs
• Review medical records through life of claim to extract recommendation from physician for future medical care related to claim and Medicare allowable
• Calculate pricing of recommendations of Medicare allowable treatment to establish overall cost of care
• Strategies for watertight submission of MSA to CMS review and approval
Identification: TUE08
• Establish life expectancy of claimant and calculate cost of care for future medical needs
• Analyze payers’ medical claims data to determine projected cost of claimants related injuries
• Utilize medical guidelines to generate recommended future cost of care per injury
• Strategies to minimize future medical costs expense and reduce exposure of MSA
