Complying with Medicare: Everything You Need to Know for Your Liability Case

Compliance with the Medicare Secondary Payer Act can be challenging and oftentimes can cause unnecessary delays to the settlement. This course will cover all three statutory requirements of the Medicare Secondary Payer Act: Reimbursement of Conditional Payments, Prohibition on Medicare from making payments post-settlement (the MSA), and Section 111 Reporting. Specifically, these statutory requirements will be examined in the setting of liability/personal injury matters. In addition, the latest policy changes from CMS will be discussed in detail to give practitioners the most up-to-date information.

Learning Objectives: 

1. Explain the PAID Act and how it impacts Medicare Advantage Plans and Medicare Part D plans
2. Discuss the Section 111 Civil Money Penalties effective October 2024 - what do we know after one year of penalties? 
3. Analyze Medicare Set Asides/Future medical allocations, when you need one, and why?