Medicare Conditional Payment and Medicare Advantage Plan Reconciliation Processes

Techniques to Minimize Repayment Obligations and Maximize Medicare Refunds After a Liability Settlement

Recording of a 90-minute CLE webinar with Q&A


Conducted on Wednesday, December 13, 2017

Recorded event now available

or call 1-800-926-7926
Program Materials

This CLE webinar will provide guidance to personal injury attorneys for navigating the complex processes for reconciling Medicare conditional payments and Medicare Advantage plans to increase a plaintiff’s recovery following a personal injury settlement.

Description

Personal injury counsel must understand the intricacies of the Medicare Secondary Payer’s Act Medicare Conditional Payment reconciliation process in order to maximize their clients’ recovery after a personal injury settlement. This process involves a series of prescribed steps, including the completion of required forms, production of settlement documentation and a strict appeals process.

Medicare Advantage plans, administered by private insurance companies, use the Medicare Secondary Payer Act as their recovery vehicle. Though Medicare Advantage plans arguably have the same recovery rights as traditional Medicare, they are often much more open to agreements based upon equity and fairness. Counsel also need to understand the reconciliation process for these plans.

Listen as Dave Place, J.D., Vice President and Director of Synergy Lien Resolution Services, explains the process for obtaining Medicare refunds for their clients following a personal injury settlement via the Medicare conditional payment and Medicare Advantage plan reconciliation processes.

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Outline

  1. Navigating the Medicare conditional payment reconciliation process
  2. Expedited resolution techniques utilizing the MSPRP
  3. Reconciling payments under Medicare Advantage plans
  4. Attorney liability and best practices
  5. Obtaining Medicare refunds post settlement

Benefits

Mr. Place will review these and other key issues:

  • The forms clients must sign to allow their personal injury attorney access to their Medicare information
  • Information to include in the claim notice
  • How to navigate the Medicare Secondary Payer Recovery Portal
  • How Medicare conditional payments are calculated
  • How to submit a hardship letter to CMS when seeking a waiver or compromise of Medicare’s interest

Faculty

Place, David
David L. Place, JD

Vice President, Director of Lien Resolution Services
Synergy Settlement Services

Mr. Place serves as Director of Synergy Lien Resolution Services and Multi Claimant Solutions, exclusively assisting...  |  Read More

Other Formats
— Anytime, Anywhere

Strafford will process CLE credit for one person on each recording. All formats include program handouts. To find out which recorded format will provide the best CLE option, select your state:

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