Podcasts about medicare secondary payer

Your goal is to move your New York workers' compensation case to a timely closure, but there are some commonly-overlooked issues that can complicate the final resolution or settlement. In this episode, “Closing Workers' Compensation Cases in New York: Medicare Secondary Payer Obligations (https://loisllc.com/webinar/closing-workers-compensation-cases-in-new-york-medicare-secondary-payer-obligations/),” Greg Lois (https://loisllc.com/attorney/greg-lois/) explores some complications that must be considered BEFORE a case is settled: The AGE or MEDICARE ENTITLEMENT of the claimant (Medicare as Secondary Payer Act Exposure). How to attend these webinars live and ask questions Join us for our monthly webinars on New York and New Jersey workers' compensation law. Register for a Construction Defense Webinar (https://attendee.gotowebinar.com/register/7649060921835510031) Register for a Civil Litigation Webinar (https://attendee.gotowebinar.com/register/2939203908210686476) Register for a New York Workers' Compensation Webinar (12PM SESSION) (https://attendee.gotowebinar.com/register/8126129122765451535) Register for a New York Workers' Compensation Webinar (3PM SESSION) (https://attendee.gotowebinar.com/register/7249849108834235650) Register for a New Jersey Workers' Compensation Webinar (https://register.gotowebinar.com/register/5291331929217948419) Schedules and Information Handout materials are provided in advance of each session. The webinar courses follow the "life cycle" of a claim and correspond to chapters in the Workers' Compensation Handbooks (https://loisllc.com/publications/) offered by the Firm. Webinar Archive * View archive of prior Workers' Compensation and Civil Litigation webinars (https://loisllc.com/webinars/archive/) Disclaimer This webinar is not legal advice! The materials presented by this webinar/podcast and any affiliated website are for informational purposes only and are not offered as legal advice as to any particular matter. No viewer/listener/reader should act on the basis of these materials without seeking appropriate professional advice as to the particular facts and applicable law involved. The materials are not represented to be correct, complete, or up-to-date. Opinions presented by this video/podcast are the opinions of the author. Neither the use of this web site nor the transfer of information to or from this web site shall create or constitute an attorney-client relationship between Greg Lois, the presenter in the video/podcast, or LOIS LAW FIRM LLC and any person. You should not send any confidential information to this web site until after you have entered into a written agreement for the performance of legal services.

When it comes to Medicare Set Asides the goal is to ensure that the interests of Medicare are appropriately considered. When denials occur, it's difficult to understand how the decision was made and what to do about it. In this episode, we welcome our partners at Ametros to discuss their recent white paper which addresses the reality of Medicare denials. Our conversation is informed by Ametros Vice President of Strategy, John Kane, who brings over 30 years of experience and an extensive background in Medicare Secondary Payer compliance, as well as Ametros Senior Strategic Account Executive, Jayson Gallant, the author of the white paper.To Learn More About Ametros: www.ametros.comTo Connect With our Guests:LinkedIn: John Kane                      Jayson GallantTo Learn More About Ringler:Ringler Website: www.ringlerassociates.comRingler Social Media:                     Ringler Radio                     LinkedIn                     Facebook                     Instagram                     YouTube

Malpractice Traps That Most Lawyers Haven't Thought About, with Jason Lazarus Jason D. Lazarus, J.D., LL.M., CSSC, MSCC is the founder and Chief Executive Officer of Synergy Settlement Services. Synergy offers healthcare lien resolution, Medicare secondary payer compliance services, pooled trust services, settlement asset management services and structured settlements. He is also the managing partner and founder of the Special Needs Law Firm; a Florida law firm that provides legal services related to public benefit preservation, liens and Medicare Secondary Payer compliance. Jason is an Amazon Best-Selling author and his book; Art of Settlement, is a detailed guide for trial lawyers related to regulatory compliance when resolving catastrophic claims. His written work has been cited, as authoritative on Medicare compliance, by the Supreme Court of Florida and the United States Southern District of Florida. Mr. Lazarus received his B.A. from the University of Central Florida and his J.D. with high honors from Florida State University. He received his LLM in Elder Law with Distinction from Stetson University College of Law. What you'll learn about in this episode: Medicare Advantage plans' recovery rights Mandatory reporting requirements for insurers from Medicare Do any of these pitfalls apply to PI settlements Medicaid/SSI protected benefits The effect of the Supreme Court's ruling in the McCutchen case on ARISA liens How qualified settlement can expedite the resolution of catastrophic and complicated cases Attorney fee deferrals to QSF Special needs trusts Jason's book, “The Art of Settlement” Resources: Website: www.synergysettlements.com Website:www.triallawyerview.com Facebook: https://www.facebook.com/SynergySettlementServices Twitter: https://twitter.com/SynergySettle LinkedIn:  https://www.linkedin.com/in/jasondlazarus/ Email: jason@synergysettlements.com   Additional Resources: PILMMA's Super Summit    https://learn.pilmma.org/pilmma-super-summit-2021 The Mastermind Effect: https://www.pilmma.org/the-mastermind-effect/  PILMMA's free Coronavirus Survival Kit: www.pilmma.org/free-resources/  PILMMA Join Page: https://learn.pilmma.org/join-pilmma

Heather Schwartz Sanderson, Esq, is the Founder of Sanderson Firm PLLC, a law firm committed to providing comprehensive compliance solutions to the Medicare Secondary Payer Act (MSP). Aside from being a lawyer, Heather is a passionate writer and works in this space heavily to make sure she is part of future reforms in the legislature so that she can better help and serve her clients. In this week's episode, Heather discusses where this industry is headed, why it's important to be part of politics, and why there's still a huge need for lawyers in this sector.   Key Takeaways A little bit Heather and how she got into the medicare secondary payer space. What is MSP and how does it work? Heather shares why she made the leap from corporate to develop her own firm. Heather has been learning a wide range of skill sets now that she is self-employed. Learning how to generate new business is just one of the skills that she is enjoying. Heather started her business during the pandemic but she has been busy. There is still a huge need in this sector. Heather shares her involvement in politics and her experience with changing/enforcing legislation. How did Heather get started with writing so much? Where does Heather see the industry headed in the next 12‒18 months? Why should someone join this space in 2021 and beyond? What does Heather wish she'd known about her career when she first got started?   Keep Getting Better Sandersoncomp.com Heather on LinkedIn   Quotes “The need is still there. It's been a pandemic but right now, Medicare has two threatened proposed rules which would drastically change the need for Medicare secondary payers.”   “We see reports all the time that the Medicare trust fund is running out by a certain date. The Medicare secondary payer act was designed to preserve the trust fund, so there's been more enforcement on it for that reason.”   “I'm not just going to sit here and complain about it. I want to do something about it. To the extent there are future reforms, I want to advocate for my clients.”

Attorney Greg Lois Attorney Gregory Lois leads a discussion on the challenges facing parties seeking to resolve disputes via New Jersey's Section 20 lump-sum dismissal process where Medicare has an interest. This audio is taken from the January 28, 2019 webinar provided by the Firm. How to attend these webinars live and ask questions. Join us for our monthly webinars on New York and New Jersey workers’ compensation law. Register here: Register Archive of prior presentations is here. Schedules and Information. Handout materials are provided in advance of each session. The webinar courses follow the "life cycle" of a claim and correspond to chapters in the Workers' Compensation Handbooks offered by the Firm. Upcoming Webinars Detailed syllabus and schedule available here. Disclaimer: This webinar is not legal advice! The materials presented by this webinar/podcast and any affiliated website are for informational purposes only and are not offered as legal advice as to any particular matter. No viewer/listener/reader should act on the basis of these materials without seeking appropriate professional advice as to the particular facts and applicable law involved. The materials are not represented to be correct, complete, or up-to-date. Opinions presented by this video/podcast are the opinions of the author. Neither the use of this web site nor the transfer of information to or from this web site shall create or constitute an attorney-client relationship between Greg Lois, the presenter in the video/podcast, or LOIS LAW FIRM LLC and any person. You should not send any confidential information to this web site until after you have entered into a written agreement for the performance of legal services.

Attorney Greg Lois (https://loisllc.com/attorney/greg-lois/) leads a presentation and discussion on Medicare secondary Payer issues complicating lump sum dismissal settlements in New York. How to attend these webinars live and ask questions Join us for our monthly webinars on New York and New Jersey workers' compensation law. Register for a Construction Defense Webinar (https://attendee.gotowebinar.com/register/7649060921835510031) Register for a Civil Litigation Webinar (https://attendee.gotowebinar.com/register/2939203908210686476) Register for a New York Workers' Compensation Webinar (12PM SESSION) (https://attendee.gotowebinar.com/register/8126129122765451535) Register for a New York Workers' Compensation Webinar (3PM SESSION) (https://attendee.gotowebinar.com/register/7249849108834235650) Register for a New Jersey Workers' Compensation Webinar (https://register.gotowebinar.com/register/5291331929217948419) Schedules and Information Handout materials are provided in advance of each session. The webinar courses follow the "life cycle" of a claim and correspond to chapters in the Workers' Compensation Handbooks (https://loisllc.com/publications/) offered by the Firm. Webinar Archive * View archive of prior Workers' Compensation and Civil Litigation webinars (https://loisllc.com/webinars/archive/) Disclaimer This webinar is not legal advice! The materials presented by this webinar/podcast and any affiliated website are for informational purposes only and are not offered as legal advice as to any particular matter. No viewer/listener/reader should act on the basis of these materials without seeking appropriate professional advice as to the particular facts and applicable law involved. The materials are not represented to be correct, complete, or up-to-date. Opinions presented by this video/podcast are the opinions of the author. Neither the use of this web site nor the transfer of information to or from this web site shall create or constitute an attorney-client relationship between Greg Lois, the presenter in the video/podcast, or LOIS LAW FIRM LLC and any person. You should not send any confidential information to this web site until after you have entered into a written agreement for the performance of legal services.

The Medicare Secondary Payer (MSP) Act has expanded the scope of workers' compensation and liability claims beyond each individual state's law concerning Medicare compliance. It also extends responsibility to plaintiffs' attorneys, claimants of state, as well as self-insureds. As a result, it is vital to realize who is making payments for medical benefits on both accepted cases and disputed cases. There are a variety of ways that your organization can consider the MSP act and still be in compliance with its new regulations. It is advised to begin with conducting a comprehensive review of each claim prior to choosing a course of action. When determining Medicare's future interest in a settlement, an entity will generally not provide a future medical allocation while documenting that no future medical allocation was provided. Options for considering Medicare's future interest in a settlement include: Commutation approach – takes into consideration what to reasonably expect to compensate for future medical expenses after the date of the settlement as a result of a work-related injury or disease. Compromise approach – takes disputes on the case into consideration and is generally computed by an MSA (Medical Savings Account) that funds an accepted portion of the claim or an MSA that is based on a percentage of the settlement. Seeking CMS (Centers for Medicare and Medicaid Services) approval – A voluntary process in which parties involved in the case are not required to undertake. This process typically leads to an overfunded MSA or an MSA that funds all possible treatments rather than probable or expected treatments. Entities can address Medicare's reimbursement requests on payments made by asking for documentation confirming that the request is related to the case and to ensure that reimbursement is indeed owed. At times, Medicare may ask for something that is not related to the claim itself. If it is a possibility that Medicare wrongfully collected on the case, the entity should investigate/appeal the request and search for methods to reduce the amount they are asking for or they have already taken from the case. When reviewing these cases, it is imperative to maintain the mindset that the burden of proof should lie with Medicare.

Attorney Declan Gourley leads a presentation designed to help the attendee answer the following questions: “Can I settle this case?” and “Does Medicare have a current interest I need to consider?” and “Do I need to consider Medicare’s future interest?” Presenter Declan Gourley has years of experience representing claimants before the Social Security law judges and employers and carriers before the Workers' Compensation Board. At the end of the presentation, the attendees will have a basic understanding of Medicare Secondary Payer exposure and when they need to consider Medicare’s interest in a lump-sum settlement. How to attend these webinars live and ask questions. Join us for our monthly webinars on New York and New Jersey workers’ compensation law. Two (2) Sessions, offered at 12PM EST and 3PM EST on the "Third Monday" of the month. Register here: 12:00 EST Session    3:00 EST Session Archive of prior presentations is here. Schedules and Information. Handout materials are provided in advance of each session. The webinar courses follow the "life cycle" of a claim and correspond to chapters in the Workers' Compensation Handbooks offered by the Firm. Upcoming Webinars Detailed syllabus and schedule available here. Disclaimer: This webinar is not legal advice! The materials presented by this webinar/podcast and any affiliated website are for informational purposes only and are not offered as legal advice as to any particular matter. No viewer/listener/reader should act on the basis of these materials without seeking appropriate professional advice as to the particular facts and applicable law involved. The materials are not represented to be correct, complete, or up-to-date. Opinions presented by this video/podcast are the opinions of the author. Neither the use of this web site nor the transfer of information to or from this web site shall create or constitute an attorney-client relationship between Greg Lois, the presenter in the video/podcast, or LOIS LLC and any person. You should not send any confidential information to this web site until after you have entered into a written agreement for the performance of legal services.

Audio from the recent presentation, “Medicare Secondary Payer Issues in New Jersey Workers’ Compensation Claims” from our New Jersey workers’ compensation webinar training series. Attorneys Declan Greg Lois discusses Medicare Secondary Payer exposure and how it effects the settlement via Section 20 in New Jersey workers compensation matters. Disclaimer: This webinar is not legal advice! The materials presented by this webinar/podcast and any affiliated website are for informational purposes only and are not offered as legal advice as to any particular matter. No viewer/listener/reader should act on the basis of these materials without seeking appropriate professional advice as to the particular facts and applicable law involved. The materials are not represented to be correct, complete, or up-to-date. Opinions presented by this video/podcast are the opinions of the author. Neither the use of this web site nor the transfer of information to or from this web site shall create or constitute an attorney-client relationship between Greg Lois, the presenter in the video/podcast, or LOIS LLC and any person. You should not send any confidential information to this web site until after you have entered into a written agreement for the performance of legal services.

Here is the post-webinar audio from our January 16, 2017 presentation, “Medicare Secondary Payers Issues in New York Workers' Compensation Settlements" from our New York workers' compensation webinar training series. DISCLAIMER: This podcast is not legal advice! The materials presented by this podcast and any affiliated website are for informational purposes only and are not offered as legal advice as to any particular matter. No reader should act on the basis of these materials without seeking appropriate professional advice as to the particular facts and applicable law involved. The materials are not represented to be correct, complete, or up-to-date. Opinions presented by this podcast are the opinions of the author. Neither the use of this web site nor the transfer of information to or from this web site shall create or constitute an attorney-client relationship between Greg Lois or LOIS LLC and any person. You should not send any confidential information to this web site until after you have entered into a written agreement for the performance of legal services.

New Jersey allows for "full-and-final" settlements under Section 20. Parties must consider the potential exposure for their clients under the Medicare as Secondary Payer Act when resolving the medical aspects of a case in a lump-sum dismissal. Here is the post-webinar audio from from the discussion "Medicare Secondary Payer in New Jersey" presented by attorneys Joe Jones Michael Tomasino, and Greg Lois of Lois LLC. Subject(s): Medicare Secondary Payer, Section 20, New Jersey Date Presented: January 25, 2016 Presenter(s): Joe Jones, Esq., Michael Tomasino, Esq., and Greg Lois, Esq. Run time: 24:14

Audio from the Lois LLC New York Webinar “Understanding our Medicare Secondary Payer Act Obligations (Medicare Secondary Payer).” Attorney Declan Gourley leads a presentation and discussion on the handling cases with Medicare Secondary payer Act exposure in New York. Subject(s): Medicare Secondary Payer obligations, Section 32 Settlement, New York, Workers’ Compensation Date Presented: January 18, 2016 Presenter(s): Declan Gourley, Esq., and Greg Lois, Esq. Run time: 21:15

Medicare Secondary Payer, better known as MSP, took center stage in 2014 when it came to impacting the structured settlement industry. Ringler Radio host, Larry Cohen along with colleague, Tom Blackwell, Vice President and Program Director of Ringler Medicare Solutions, Inc. (RMS), talk about the changes in CMS(Centers for Medicare and Medicaid Services) submissions, liability, educating clients and what we can expect in 2015.

Medicare Secondary Payer, better known as MSP, took center stage in 2014 when it came to impacting the structured settlement industry. Ringler Radio host, Larry Cohen along with colleague, Tom Blackwell, Vice President and Program Director of Ringler Medicare Solutions, Inc. (RMS), talk about the changes in CMS(Centers for Medicare and Medicaid Services) submissions, liability, educating clients and what we can expect in 2015.

The SMART Act, also known as the Strengthening Medicare and Repaying Taxpayers Act, was passed by Congress and signed into law by President Obama.  Listen to Ringler Radio host Larry Cohen and colleague Teddy Snyder, Esq. discuss the impact of the SMART Act with special guest, Attorney Aaron F. Frederickson from MSP Compliance Solutions.  They take a look at how this law will impact the existing Medicare Secondary Payer rules, claims and structured settlements. Visit Ringler Associates to contact a consultant in your area about structured settlements.

Attorneys Daniel Santaniello and Reinaldo (Rey) Alvarez from the Florida law firm of Luks, Santaniello, Petrillo & Jones, discuss the Medicare Secondary Payer Act and how to address Medicare in liability settlements.

The mandatory insurer reporting program instituted by the Centers for Medicare and Medicaid Services (CMS) has received quite a bit of attention among practitioners in the liability and workers compensation cases. On The Landy Law Letter, host John L. Torvi, from the Herbert H. Landy Insurance Agency of Needham, Massachusetts welcomes Attorney Michael E. Civittolo from Lawrence & Associates, to take a look at Medicare Secondary Compliance and how to avoid pitfalls in your legal cases. They discuss some of the issues to be concerned about with MSP compliance and the importance of to complying with MSP laws.

Attorneys Paul Jones and Orestes (Rusty) Perez from the law firm of Luks, Santaniello, Perez, Petrillo, Gold & Jones in Florida discuss recently enacted new rules by Congress to enhance the enforcement of the Medicare Secondary Payer Law (Commonly referred to as MSP).