Medicare Secondary Payer (MSP) compliance has been an irritable 800-pound gorilla. But you can take steps to gain better control of MSP compliance. MSP compliance remains a complicated, time-consuming, labor-intensive fact of worker’s compensation and liability cases. Misunderstanding of reporting requirements and the process on the part of plaintiff and defense counsel as well as insurance carriers slows the process, leaving injured parties without needed funds to get on with their lives.
MSP compliance is about “considering/protecting” Medicare’s interests by: (1) recovery of conditional (pre-settlement) Medicare payments; (2) Medicare set-aside (MSA) arrangements reducing post-settlement Medicare payments; and (3) insurer reporting pursuant to Section 111 of the Medicare, Medicaid, SCHIP Extension Act, December 29, 2007, (MMSEA). Plaintiff’s counsel will rarely see Section 111 reporting issues. But Section 111 penalties have driven the frenzy surrounding (1) and (2).
The goal of this CLE program is to increase your understanding of the process, enable you to effectively use available MSP compliance tools for better control of MSP compliance, reduce everyone’s exposure, and expedite completion of injury cases.
Our speaker is Tim Nay of the Law Offices of Nay & Friedenberg. Tim was one of four founding members of the National Alliance of Medicare Set Aside Professionals (NAMSAP), and served as NAMSAP’s first Secretary. He is also the founding president of the National Academy of Elder Law Attorneys (NAELA), a Fellow of the Academy and winner of the 2007 NAELA President’s Award.