Medicare Secondary Payer Master Class

Feb 9, 2021 ‐ Feb 10, 2021


Standard: $500.00

Sessions

Evaluate the Benefits of the Primary Payer having Control in No-Fault and Workers Compensation Claims

Feb 10, 2021 12:55pm ‐ Feb 10, 2021 1:40pm

Identification: WED06

•    Understand that If ORM is accepted then the defendant is the responsible debtor and will be held accountable for reimbursement of Conditional Payments
•    Define the types of claims including personal injury protection, med pay policies, no-fault, homeowner’s policies, and workers compensation, to identify which Conditional Payment is owed by the debtor
•    Report information regarding the claim through Mandatory Insurer Reporting to ensure CMS has all pertinent information
•    Update ORM and ICDs on a quarterly basis to keep CMS informed of details of file

Speaker(s):

Proven Methods when Working with the CRC Pre-Settlement and Post-Settlement

Feb 10, 2021 1:50pm ‐ Feb 10, 2021 2:35pm

Identification: WED07

•    Receive a Conditional Payment Notice generated by CRC in relation to the claim, or request a CPN If not automatically generated by the CRC to receive conditional payment information related to claim
•    Dispute unrelated charges in the Conditional Payment Notice within 30-days
•    Next Steps: Analyze BCRC’s request for payment, the Conditional Payment Demand,
•    Prepare to pay within 60-days or appeal non-related Conditional Payments within 120-Days

Speaker(s):

Valuable Techniques when Dealing with Medicare Advantage and Prescription Drug Plans

Feb 10, 2021 2:45pm ‐ Feb 10, 2021 3:30pm

Identification: WED08

•    Calculate new approaches to identify if a claimant has transitioned from traditional Medicare to Medicare Advantage or Prescription Drug Plan
•    Connect with Medicare Advantage Plan or Prescription Drug Plan to determine if any payments have been made related to the claim
•    Analyze payment log of items paid to make a determination if payments made are related and if not, to dispute errors
•    Avoid being sued for double damages by ensuring your dispute with Medicare Advantage or Prescription Drug Plan is accurate and timely

Speaker(s):

Established Strategies when Working with US Department of Treasury and US Department of Justice

Feb 10, 2021 3:40pm ‐ Feb 10, 2021 4:25pm

Identification: WED09

•    Understand process if no payment or appeal is made and examine the outcome of claim escalation of outstanding debt when referred to the US Department of Treasury
•    Prepare to receive forceful communication from the US Department of Treasury Collectors, as they attempt to reclaim outstanding debt
•    Strategies to resolve if debt remains unpaid, dealing with US Department of Treasury Offset Program
•    Avoid being sued by the US Department of Justice for unpaid debts related to claim

Speaker(s):

Closing Remarks iconClosing Remarks

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Closing Remarks

Feb 10, 2021 4:25pm ‐ Feb 10, 2021 4:35pm

Identification: WED10

Speaker(s):