The Reality of Medicare Denials – Avoid Unanticipated Medicare Liability After a Settlement
- The volume and frequency of Medicare denials over the past few years
- The correlation between WCMSAs and the Medicare Part B Program denials
- The broad implications Medicare denials have for the individual and all constituents in the claims settlement process
- Best practices to ensure individuals are being compliant with CMS’ requirements
Reimagining Marketing Methods
- Adapt your Marketing strategy for Millennials and Gen Z
- Embrace new Marketing technologies
- Manage your brand (both business and personal) in a digital environment
MSA Self Administration: 5 Critical Things to Know About Managing Your Future Medical Funds
This webinar & video resource is recommended for:
- Industry professionals who want to better educate individuals on the importance of properly managing their future MSA funds after settlement
- Individuals considering self-administration or have questions about managing their MSA after settlement
Learning Objectives
- Answers to questions about MSAs including what they are, why they are important, and how they can be managed after settlement
- CMS compliance requirements injured individuals must follow if they have an MSA and how to complete annual MSA attestation with real-life examples
- Important documents injured individuals should understand prior to settling
- Tools and support resources to help injured individuals manage their MSA funds after settlement
Achieving Wellness After a Settlement
- What factors affect the wellness of injured workers before and after settlement?
- What is trending with Workers’ Compensation medical practitioners?
- What does “evidence-based medicine” mean and how does it work in practicality?
- What is on the horizon for the Occupational Medicine community?
Reimagining Management Style
- Strategies to recruit, retain and develop talent at your company
- How to be an adaptive and responsive leader
- A plan for implementing new leadership styles in your organization
When is a 2nd Opinion Appropriate?
- The purpose of BICMD and Ametros’ partnership
- The future care path of the injured worker
- Services that can be offered virtually after settlement
- Why it is important to have a second opinion on care after settlement, including Medical Improvement (MMI) and Independent Medical Examinations (IMEs)
What Law Professors are Thinking about COVID-19 & Other Relevant Workers’ Compensation Topics
- Efforts states have taken to adjust workers compensation to the COVID-19 pandemic including legislative, regulatory, and executive actions introducing compensability presumptions into the law
- What is a presumption, how do they work, and why should they apply to certain categories of workers and not others?
- Should there be a more comprehensive national disability option addressing incapacity caused by a virus?
A Conversation with Parashar B. Patel of the Patel Memo
- Who is Parashar Patel?
- The importance of the Patel memo and its impact on Medicare Secondary Payer
- History of MSAs leading up to the “Patel Memo”
- Parashar Patel’s thoughts on the evolution of Medicare Set Asides
CMS Amended Its Guidelines To Address The Opioid Crisis; A Conversation on Why Administration Is Recommended
- Unique therapeutic perspective of injured workers who settle
- Utilization metrics
- Safety measures professional management provides
The Future of Claims: Thoughts from Administrative Law Judges on the Impact of COVID-19 in Workers’ Compensation
- LuAnn Haley, an Arizona ALJ and Board Member of The National Association of Workers’ Compensation Judiciary
- Douglas Gott, Kentucky’s Chief WC ALJ
- Joseph DeRita, ALJ and Director of Workers’ Compensation Adjudication in Pennsylvania
- COVID-19’s impact on claim processing
- How state systems are adapting
- The pandemic’s impact on settling cases
The Coronavirus Pandemic in Workers Compensation: What are the Medical Providers Thinking?
- What should an employer’s concern be for his employees’ health and safety based on what we know about this virus?
- How does an employer maintain a healthy work environment and support healthy business operations? – What is the psychiatric community thinking about this pandemic?
- Could a claim be filed for an emotional injury where there is no physical harm caused by the exposure, only the harm associated with the fear of potential life-threatening harm?
- What is the Occupational Medicine community thinking about these claims?
- How is the medical community adjusting to this no-contact environment we now all share? Is telemedicine the answer and is it our future?
Medicare Secondary Payer & Professional Administration Update
- Medicare Set Asides (MSAs)
- Conditional Payments
- Section 111 Reporting
- Professional Administration
How Have State Workers’ Compensation Systems Adapted to the Coronavirus Pandemic?
- Did any of the fifty-three workers’ compensation systems plan for a cataclysmic event like the Coronavirus?
- What system was the first to implement changes to adapt to the pandemic reality?
- What jurisdiction has adopted the most comprehensive catastrophic plan?
How Humana Enforces the MSP Statute After Settlement
- Common FAQs regarding Humana coverage, denials, and subrogation
- Brian’s background and how his role impacts decision made at Humana
- How Humana determines when to issue subrogation letters for services post-settlement
- How Humana enforces MSP Statute
- How Humana collects the data they need and what specific data is obtained from CMS & other sources
