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 video webinar with Q&A
This CLE course will guide personal injury attorneys in navigating the complex processes for reconciling Medicare conditional payments and Medicare Advantage plans to increase a plaintiff's recovery following a personal injury settlement.
Outline
- Navigating the Medicare conditional payment reconciliation process
- Expedited resolution techniques utilizing the MSPRP
- Reconciling payments under Medicare Advantage plans
- Attorney liability and best practices
- Obtaining Medicare refunds post-settlement
Benefits
The panel will review these and other relevant 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 interest
Faculty
David L. (Dave) Place, JD
Owner
The Place Firm
Mr. Place exclusively assists personal injury victims and plaintiff counsel with complex lien resolution problems using... | Read More
Mr. Place exclusively assists personal injury victims and plaintiff counsel with complex lien resolution problems using his vast knowledge of the other side’s techniques. Mr. Place spent fourteen years representing large private group health insurance plans, self-funded ERISA groups, FEHBA plans, Medicare Advantage plans, state Medicaid plans, as well as stop-loss and disability plans in their subrogation/recovery programs. He asserted subrogation/reimbursement rights for those groups in all fifty states, personally recovering nearly one hundred million dollars for the insurance industry.
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Kim Reynolds, MBA
Director of Operations
The Place Firm
Ms. Reynolds, MBA, the Director of Operations at The Place Firm has over 20 years' experience in helping injury... | Read More
Ms. Reynolds, MBA, the Director of Operations at The Place Firm has over 20 years' experience in helping injury victims resolve alleged "liens." She has the knowledge and skill that is the result of her 20 years pf experience as both a personal injury paralegal, as well as that gained while managing one of the nation's largest plaintiff only lien resolution companies. In addition to handling all operational aspects for The Place Firm, Ms. Reynolds focuses on Medicare, Medicare Advantage, Medicaid, Military, and medical billing lien resolution.
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