Personal Injury Claims Settlement: New CMS Guidance
Navigating Clarifications to Medicare Set-Asides, QSFs and Section 111 Reporting Requirements
CMS alerts and memorandum issued Sept. 30
Recording of a 90-minute CLE webinar with Q&A
This CLE course will prepare personal injury attorneys to handle legal challenges that new CMS guidance raises for Liability Medical Set-Aside Arrangements; meeting reporting requirements for settlements involving Qualified Set-Aside Funds and exposure claims; and complying with Section 111 reporting timelines.
- Medicare Set-Asides
- Overview of Medicare set-asides
- Requirements of the CMS guidance
- Addressing LMSAs in a settlement
- Qualified Settlement Funds
- Overview of QSF payments
- Clarification of reporting requirements
- Exposure, ingestion and implantation Claims
- History of conditional payments for these claims
- Updated guidance for compliance with MSP
- Section 111 Reporting
- Overview of reporting requirement
- Revised timeline for reporting compliance
- Additional CMS Announcements
The panel will review these and other key questions:
- When is an LMSA not required and what certification is needed to avoid one?
- What are the reporting requirements for payments made pursuant to settlement of exposure, ingestion and implantation claims?
- When is reporting required for payments made by a QSF to comply with the MSP?
- What is the new timeline for electronic reporting requirements of Section 111?
Following the speaker presentations, you'll have an opportunity to get answers to your specific questions during the interactive Q&A.
Jeremy T. Burton
Williams Montgomery & John
He is a partner and a member of the firm's Product Liability and Tort Defense Practice Groups. He focuses his... | Read More
He is a partner and a member of the firm's Product Liability and Tort Defense Practice Groups. He focuses his practice on defending product liability, premises liability, insurance coverage and commercial matters in state and federal courts.Close
Head, Future Cost of Care Practice
He heads the Future Cost of Care Practice. In this role, he counsels attorneys nationwide with respect to Medicare... | Read More
He heads the Future Cost of Care Practice. In this role, he counsels attorneys nationwide with respect to Medicare compliance under the Medicare Secondary Payer Act. In particular, he advises attorneys on the applicability and use of Medicare Set-aside Arrangements (“MSAs”) as a part of workers’ compensation, liability and no-fault settlements.Close