Sponsored by Medicare Advocacy Recovery Coalition (MARC)
Tuesday, August 21, 2018
1:00 – 4:15 pm
Crystal Ballroom G1
Convention Level
Program Moderator:
Mary Re Knack, Attorney
Ogden Murphy Wallace PLLC
Seattle, WA
1:00 – 2:00 pm
Common Pitfalls of the Medicare Secondary Payer Process and How to Avoid Them – The View From CMS
Moderator:
David Farber, Attorney
King & Spalding
Washington, DC
Speaker:
Jacqueline Cipa
MSP Operations Team Lead
Division of Medicare Secondary Payer Operations
Center for Medicare and Medicaid Services
Baltimore, MD
Understanding the Medicare Secondary Payer (MSP) program is critical to anyone involved in the workers’ compensation claim resolution process. But understanding the details of exactly how the program works, in what sequence, and why, is critical to successfully navigating any MSP claim. WCI is pleased to welcome a leading government official from the Centers for Medicare and Medicaid Services (CMS) with responsibility for management of the program to address the MSP program generally, and the claims resolution process specifically. The presentation will also explain the roles of each of the different CMS contractors that claims professionals will work with and will answer common questions from the regulated community. Join us as we hear from CMS about the MSP program, what is involved, and how to efficiently navigate the claims resolution process.
2:00 – 3:00 pm
Medicare Secondary Payer – Hot Topics in 2018
Moderator:
David Farber, Attorney
King & Spalding
Washington, DC
Panel:
Mary Re Knack, Attorney
Ogden Murphy Wallace PLLC
Seattle, WA
Heather Sanderson, Attorney
Chief Legal Officer
Franco Signor
Bradenton, FL
Michelle Allan, Attorney
Gordon & Rees
Pittsburgh, PA
Michele Adams
Vice President, Risk Management Services
Walt Disney World Resort
Orlando, FL
2018, like years past, has already seen a multitude of changes in the Medicare Secondary Payer arena. CMS has completely revised its contractors to administer MSP claims resolution, and in turn those contractors have implemented new procedures and operations affecting every claim going through the system. At the same time, CMS is actively pursuing new policies, and the courts are deciding new cases every day affecting settling parties rights and responsibilities under the Medicare statute. Come join our “MSP 2018 Hot Topics” presentation to learn all about these new changes to the program, and how your day to day claims resolution will be changing as a result.
3:00 – 3:15 pm
Break
3:15 – 4:15 pm
Medicaid – The Next MSP?
Moderator:
David Farber, Attorney
King & Spalding
Washington, D.C.
Panel:
Mary Re Knack, Attorney
Ogden Murphy Wallace PLLC
Seattle, WA
Marty Cassavoy
Vice President of MSP Compliance
ExamWorks Clinical Solutions
Woburn, MA
Cari I. Miller
Director and Associate Counsel, Governmental Affairs
Gallagher Bassett Services, Inc.
Rolling Meadows, IL
Barry Dillard
Director, Claims Management
Walt Disney Resort
Orlando, FL
The past decade has witnessed an explosion of interest in the Medicare Secondary Payer program. Yet, unknown to most in the claims community, there is an even larger program that may impact claims in the coming years – Medicaid, and the Medicaid Third Party Liability program. In fact the TPL laws can have as much impact on the claims resolution process as the federal Medicare law. This is because there are far more Medicaid beneficiaries in the country than Medicare beneficiaries (74 million compared to 55 million), and states are increasingly gaining insight into ways to identify claims and pursue recoveries. Although the historic legal limits on the states to pursue claims has diminished state interest, those legal restrictions are falling away, and recent changes threaten to make TPL “the next MSP” for the claims community.
Come join us to take a deep dive into exactly what the TPL laws are, how they operate, what the states are required to do, and how states are increasing their pursuit of TPL claims against settling parties. The session will also explore how the claims community has navigated the issues to date, and how the community will need to adjust to the emerging “new normal” of increased state recovery activity.