# Fixed Percentage Option

Save this PDF as:

Size: px
Start display at page:

## Transcription

1 Fixed Percentage Option

2 What Is the Fixed Percentage Option? In an effort to streamline the recovery process, the Centers for Medicare & Medicaid Services (CMS), directed the Benefits Coordination & Recovery Center (BCRC) to implement a new and different method of calculating the recovery amount on certain liability insurance (including self-insurance) cases. This new method is called the Fixed Percentage Option This option is available to certain beneficiaries as of November 7, 2011

3 What Is the Fixed Percentage Option? If a beneficiary: Has a physical, trauma-based liability insurance (including self-insurance) case, and Receives a total settlement of \$5,000 or less The beneficiary can resolve Medicare s recovery claim by paying Medicare 25% of the total liability insurance (including self-insurance) settlement instead of using the current, traditional recovery process.

4 What Is the Fixed Percentage Option? If the Fixed Percentage Option is selected, the beneficiary: Will know what they owe Medicare Will be able to immediately pay Medicare a flat 25% of the *gross settlement received * Gross settlement is not to be reduced for attorney fees and costs.

5 Calculating Fixed Percentage Examples Example 1 Medicare s conditional payment amount is: \$16,665 Total liability insurance settlement is: \$4,000 Attorney fee is: \$ Amount due Medicare under the Fixed Percentage Option is: \$1,000 Example 2 Medicare s conditional payment amount is: \$3,055 Total liability insurance settlement is: \$4,000 Attorney fee is: \$0.00 Amount due Medicare under the Fixed Percentage Option is: \$1,000 These two examples demonstrate that under the Fixed Percentage Option, neither the Medicare conditional payment amount nor an Attorney Fee affects the amount due Medicare. In both examples, the amount due Medicare under the Fixed Percentage Option is \$1,000.

6 The Fixed Percentage Option What Are the Benefits? Offers a simple, straightforward process to obtain the amount due to Medicare Eliminates the time and resources typically associated with the MSP recovery process Gives the beneficiary the opportunity to resolve their debt to Medicare quickly since they will no longer have to wait on a Conditional Payment amount prior to settlement

7 Eligibility Criteria In order to elect this option, ALL of the following criteria must be met: 1. Must be a liability insurance (including self-insurance) settlement, judgment, award, or other payment. (No-fault or workers' compensation settlements do not qualify) 2. The liability insurance (including self-insurance) settlement must be \$5,000 or less 3. The settlement must be for a physical trauma based injury (not related to ingestion, exposure, or medical implant) 4. The beneficiary must elect this option within the required timeframe and before Medicare has issued a demand letter or other request for reimbursement related to the incident 5. The beneficiary must not have received or expect to receive any other settlements, judgments, awards, or other payments related to the incident

8 How Is this Request Submitted? A written request for the Fixed Percentage Option must be submitted Model language to request the Fixed Percentage Option may be found in the Attorney and Beneficiary Toolkits on the website

10 How Do I Submit a Request? The Fixed Percentage Option request must be mailed to the following address: Fixed Percentage Option P.O. Box Oklahoma City, OK This special address is ONLY to be used for Fixed Percentage Option requests. Failure to send requests to this address may cause a delay that could result in the request being rejected DO NOT fax these requests to the general BCRC Fax number. Faxing a request may result in the request not being received or processed timely Untimely receipt of a request may result in rejection

11 When Will a Response Be Received? The BCRC will review the request and make a determination as to whether the request is approved or rejected All requests will be worked in the order they are received A response will be generated within 30 days of request receipt

12 If the request is approved: Request Approved The beneficiary will receive a bill for the amount due, which will equal 25% of the total liability insurance (including self- insurance) settlement, judgment, award or other payment amount Payment must be received within the timeframe specified on the bill

13 Request Rejected If the request is rejected: The beneficiary will receive an explanation as to why the request was rejected The case will then be processed using the traditional recovery process Attorney fees and expenses if applicable will be used to issue a traditionally calculated demand amount The beneficiary will receive a regular demand letter under separate cover

14 Thank you for reviewing New Fixed Percentage Option

### OPTION TO SELF-CALCULATE YOUR FINAL CONDITIONAL PAYMENT AMOUNT PRIOR TO SETTLEMENT

OPTION TO SELF-CALCULATE YOUR FINAL CONDITIONAL PAYMENT AMOUNT PRIOR TO SETTLEMENT Liability Insurance (Including Self- Insurance) Settlements, Judgments, Awards, or Other Payments Only. Eligibility Criteria

### made by private organizations (called primary payers or primary plans). 4 This includes liability

passage of the Medicare Secondary Payer Act ( MSP ) 2 in 1980 provided for a redistribution of the primary payment burden. 3 Today, Medicare is a secondary payer to other available payment sources for

### Submitting Settlement Information Monday, July 13, 2015. Slide 1 - of 21

Slide 1 - of 21 Welcome to the Medicare Secondary Payer Recovery Portal (MSPRP) Submitting Settlement Information course. As a reminder, you may view the slide number you are on by clicking on the moving

### Report to Congress. Computation of Annual Liability Insurance (Including Self-Insurance) Settlement Recovery Threshold

Report to Congress Computation of Annual Liability Insurance (Including Self-Insurance) Settlement Recovery Threshold As Required by Section 202 of the Medicare IVIG Access and Strengthening Medicare and

### Medicare Secondary Payer (MSP) Liability Insurance, No-Fault Insurance & Workers Compensation Recovery Process

Medicare Secondary Payer (MSP) Liability Insurance, No-Fault Insurance & Workers Compensation Recovery Process Note: This presentation is intended for Medicare beneficiaries and their representatives.

### Mandatory Reporting Thresholds Friday, October 09, 2015

Slide 1 - of 26 Welcome to the Mandatory Reporting Thresholds course. Note: This module applies to Responsible Reporting Entities (RREs) that will be submitting Section 111 claim information via an electronic

### CLM 2016 Atlanta Conference May 19-20, 2016 in Atlanta, GA

CLM 2016 Atlanta Conference May 19-20, 2016 in Atlanta, GA Medicare Secondary Payer Compliance: The Critical Transition to the Commercial Repayment Center (CRC) What is Medicare? Medicare is an entitlement

### Welcome to the Medicare Secondary Payer (MSP) Overview course.

Welcome to the Medicare Secondary Payer (MSP) Overview course. 1 While all information in this document is believed to be correct at the time of writing, this Computer Based Training (CBT) is for educational

### Welcome to the Reportable Claims course.

Welcome to the Reportable Claims course. Note: This module applies to Responsible Reporting Entities (RREs) that will be submitting Section 111 claim information via an electronic file submission as well

### APPLICABLE PLAN APPEALS

APPLICABLE PLAN APPEALS Appealing a Medicare Secondary Payer Recovery Claim where Medicare pursues recovery from insurers or workers compensation entities. Presented by: The Division of Medicare Secondary

### Medicare Secondary Payer Commercial Repayment Center. Group Health Plan (GHP) Recovery Process

Medicare Secondary Payer Commercial Repayment Center Group Health Plan (GHP) Recovery Process Topics Introduction of the Commercial Repayment Center CGI Federal Responsibilities Transition Plan Customer

### Welcome to the Total Payment Obligation to Claimant (TPOC) course.

Welcome to the Total Payment Obligation to Claimant (TPOC) course. Note: This module applies to Responsible Reporting Entities (RREs) that will be submitting Section 111 claim information via an electronic

### Structured settlements currently play an important role in compliance with Medicare s Secondary Payer Act.

August 14, 2012 Centers for Medicare & Medicaid Services Department of Health and Human Services ATTN: CMS-6047-ANPRM Room 445-G Hubert H. Humphrey Building 200 Independence Ave., SW Washington, DC 20201

### Self-Administration Toolkit for Workers Compensation Medicare Set-Aside Arrangements (WCMSAs)

Self-Administration Toolkit for Workers Compensation Medicare Set-Aside Arrangements (WCMSAs) For WCMSAs Approved by the Centers for Medicare & Medicaid Services (CMS) Version 1.1 January 5, 2015 1 Table

### Medicare in Personal Injury Claims: Understanding the Fundamentals

Presenting a live 90-minute webinar with interactive Q&A Medicare in Personal Injury Claims: Understanding the Fundamentals Complying with Reporting Requirements and Satisfying Medicare Liens When Settling

### MEDICARE REPORTING AND RECOVERY UPDATE

CLIENT UPDATE JULY 2012 MEDICARE REPORTING AND RECOVERY UPDATE MMSEA SECTION 111 REPORTING RRES NOT LIMITED TO QUARTERLY REPORTING Responsible Reporting Entities (RREs) were previously required to submit

### Policy and Procedures for Recoupment & Coordination of Benefits: Workers Compensation Payment

Policy and Procedures for Recoupment & Coordination of Benefits: Workers Compensation Payment Effective Date: September 1, 2013 Effective Date for Section 32 Agreements: October 1, 2013 Revised: December

### MEDICARE AND LIABILITY CASES. A. The Medicare Secondary Payer Statute

MEDICARE AND LIABILITY CASES I. The Significant Statutory and Code Provisions A. The Medicare Secondary Payer Statute The Medicare Secondary Payer statute (MSP) has been the law for well over 25 years.

### Policy and Procedures for Recoupment & Coordination of Benefits: Workers Compensation Payment

Policy and Procedures for Recoupment & Coordination of Benefits: Workers Compensation Payment Effective Date: September 1, 2013 I. Authority A. The James Zadroga 9/11 Health and Compensation Act of 2010

### LIEN ON ME. A Guide to Complying with Medicare s Secondary Payor Act and Pennsylvania s Act 44. April, 2009

LIEN ON ME A Guide to Complying with Medicare s Secondary Payor Act and Pennsylvania s Act 44 April, 2009 HARRISBURG OFFICE P.O. Box 932 Harrisburg, PA 17106-0932 717-975-8114 PITTSBURGH OFFICE 525 William

### Medicare Issues in Workers Compensation Settlements PRESENTED BY: MICHELLE A. ALLAN, ESQ.

Medicare Issues in Workers Compensation Settlements PRESENTED BY: MICHELLE A. ALLAN, ESQ. Medicare Basics Medicare is a health insurance program provided by the federal government for: People 65 years

### Medicare Secondary Payer BILLING & ADJUSTMENTS

Does an MSP record appear on the beneficiary s eligibility file? Are you aware of an MSP situation? Contact the BCRC at 1.855.798.2627 Submit claim to Medicare as primary. Do your dates of service fall

### DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services

DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services Medicare is denying an increasing number of claims, because providers are not identifying the correct primary payer prior

### Set-Aside Arrangements A Combined Effort by Robert W. Brown II, Esq. Moore Ingram Johnson & Steele, LLP

Set-Aside Arrangements A Combined Effort by Overview: When is Medicare an issue? What is required when Medicare is an issue? Dealing with CMS and Medicare. Problems associated with Medicare in the context

### New Medicare Reporting Requirements for Entities Paying Settlements or Judgments To Personal Injury Plaintiffs Who Are Medicare Beneficiaries

New Medicare Reporting Requirements for Entities Paying Settlements or Judgments To Personal Injury Plaintiffs Who Are Medicare Beneficiaries By Pamela W. Montgomery, R.N., J.D., LL.M. candidate (Health

### Subpart B Insurance Coverage That Limits Medicare Payment: General Provisions

Subpart B Insurance Coverage That Limits Medicare Payment: General Provisions 411.20 Basis and scope. (a) Statutory basis. (1) Section 1862(b)(2)(A)(i) of the Act precludes Medicare payment for services

### Welcome to the International Classification of Diseases, ninth revision (ICD-9) Requirements Frequently Asked Questions (FAQ) course.

Welcome to the International Classification of Diseases, ninth revision (ICD-9) Requirements Frequently Asked Questions (FAQ) course. 1 Disclaimer While all information in this document is believed to

### Impediments to Settlement

Impediments to Settlement W. Bruce Barrickman, Esq. 5775 Glenridge Drive Suite E100 Atlanta, GA 30328 678-222-0248 www.bayadr.com IMPEDIMENTS TO SETTLEMENT W. Bruce Barrickman, Esq. Mediation is a great

SPECIAL NEEDS TRUST NEWSLETTER SEPTEMBER 2009 A. KEL LONG, III P.C. 3060 Peachtree Rd., Suite 1725 Atlanta, GA 30305 404 238 0174 AKL3PC@mindspring.com www.akellong.com For this edition of the newsletter,

### DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services

DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services News Flash Medicare is denying an increasing number of claims, because providers are not identifying, nor sending claims

### Errors and Omissions Liability Insurance for Medicare Statutory Compliance

The Problem and the Solution Medicare/Medicaid and SCHIP Extension Act of 2007 Errors and Omissions Liability Insurance for Medicare Statutory Compliance INSURANCE GROUP In 1980, in an effort to help curb

### MMSEA Section 111 MSP Mandatory Reporting

MMSEA Section 111 MSP Mandatory Reporting Interim Record Layout Information for: Liability Insurance (Including Self-Insurance) No-Fault Insurance Workers Compensation The complete Section 111 User Guide

### INSTRUCTION LETTER TRONOX TORT CLAIMS TRUST INSTRUCTION LETTER (CATEGORY A) Dear Prospective Claimant or Claimant Counsel,

INSTRUCTION LETTER Dear Prospective Claimant or Claimant Counsel, The Tronox Incorporated Tort Claims Trust (the Trust ) has been established under Chapter 11 of the Bankruptcy Code to resolve all Tort

### Subrogation and Liens: Basic Principles and Practical Considerations. Brandon E. Berg Thompson, Coe, Cousins & Irons, L.L.P.

Subrogation and Liens: Basic Principles and Practical Considerations Brandon E. Berg Thompson, Coe, Cousins & Irons, L.L.P. Houston, Texas Texas Hospital Lien Statute Texas Property Code gives a hospital

### CLAIM FOR DAMAGES FORM

Risk Management 415 W. 6 th Street, 3 rd Floor, P.O. Box 1995, Vancouver, WA 98668-1995 Phone: 360-487-8494 Fax: 360-487-8496 CLAIM FOR DAMAGES FORM IMPORTANT: Please complete this form as completely as

### SUBROGATION AND MSAs. Settlement of W/C Claim As Part of Third Party Settlement Commutation/Dollar Contracts, Etc.

MEDICARE SET-ASIDES AND THE SUBROGATION PROFESSIONAL Presented By: Gary L. Wickert, Matthiesen, Wickert & Lehrer, S.C. Russell S. Whittle, Gould & Lamb, LLC GOTOWEBINAR ATTENDEE INTERFACE 1. Viewer Window

### EAST TEXAS MEDICAL CENTER REGIONAL HEALTHCARE SYSTEM CHARITY CARE & UNINSURED PATIENT POLICY

EAST TEXAS MEDICAL CENTER REGIONAL HEALTHCARE SYSTEM CHARITY CARE & UNINSURED PATIENT POLICY I. POLICY By virtue of their exemption from federal and state taxes and as a part of their mission to serve

### SECTION VI Other Carrier Liability All Providers. n Children (Parents Divorced or Separated): l The plan of the parent with custody of the child

All Providers COORDINATION OF BENEFITS Overview The Company coordinates benefits when a patient is covered by more than one healthcare coverage plan. A common example is when working husband and wife have

### Administrative Code. Title 23: Medicaid Part 306 Third Party Recovery

Administrative Code Title 23: Medicaid Part 306 Third Party Recovery Table of Contents Title 23: Division of Medicaid... 1 Part 306: Third Party Recovery... 1 Part 306 Chapter 1: Third Party Recovery...

### TITLE 85 EXEMPT LEGISLATIVE RULE WORKERS' COMPENSATION RULES OF THE WEST VIRGINIA INSURANCE COMMISSIONER

TITLE 85 EXEMPT LEGISLATIVE RULE WORKERS' COMPENSATION RULES OF THE WEST VIRGINIA INSURANCE COMMISSIONER SERIES 9 WORKERS COMPENSATION UNINSURED EMPLOYERS FUND Section 85-9-1. General. 85-9-2. Definitions.

### Glossary of Terms and Acronyms

Glossary of Terms and Acronyms COB/COBC Coordination of Benefits - The Coordination of Benefits Contractor consolidates the activities that support the collection, management, and reporting of other insurance

### PATIENT FINANCIAL RESPONSIBILITY STATEMENT

PATIENT FINANCIAL RESPONSIBILITY STATEMENT Thank you for choosing Medical Associates Clinic, P.C., as your healthcare provider. The medical services you seek imply an obligation on your part to ensure

### Welcome to the International Classification of Diseases, Ninth Revision (ICD-9) Diagnosis Code Requirements Part I course.

Welcome to the International Classification of Diseases, Ninth Revision (ICD-9) Diagnosis Code Requirements Part I course. Note: This module applies to Responsible Reporting Entities (RREs) that will be

### When Medicare and Workers Comp Intersect OUTLINE

When Medicare and Workers Comp Intersect Shadya Yazback, Associate General Counsel Ohio Bureau of Workers Compensation Ohio Safety Congress & Expo March 27-29, 2012, Columbus, Ohio OUTLINE DISCLAIMERS

### 1, 2011, and will apply to payment obligations assumed on or after October 1, 2010. See

Medicare Reporting and Reimbursement Compliance Issues in Mass Products Liability Cases in which Exposure on or after December 5, 1980, is Generally Alleged, Established, and/or Released. By: Lynn O. Frye,

### OSHR Workers Compensation Settlement Reserve Funds Allocations Beginning July 1, 2016. Administration Process Pages 2-5

OSHR Workers Compensation Settlement Reserve Funds Allocations Beginning July 1, 2016 Administration Process Pages 2-5 Agency Application Form Page 6 Instructions for Completion of Agency Application Form

### MSPRC Conditional Payment Investigation and Reconciliation Request

MSPRC Conditional Payment Investigation and Reconciliation Request You have requested my office be engaged to investigate and/or reconcile Medicare conditional payment information. Below you will find

### Liability Insurance (Including Self-Insurance), No-Fault Insurance, and Workers Compensation USER GUIDE

MMSEA Section 111 Medicare Secondary Payer Mandatory Reporting Liability Insurance (Including Self-Insurance), No-Fault Insurance, and Workers Compensation USER GUIDE Chapter I: INTRODUCTION AND OVERVIEW

### Hospital Liens, Medicare and Medicaid: Trouble Ahead?

A MEDICAL-LEGAL NEWSLETTER FOR PERSONAL INJURY ATTORNEYS BY DR. STEVEN W.SHAW Hospital Liens, Medicare and Medicaid: Trouble Ahead? Several years ago I was informed by an attorney that Danbury Hospital

### Medicare Dilemma ADMINISTRATION AND SETTLEMENT OF WORKERS COMPENSATION CLAIMS AND THE MEDICARE DILEMMA

Medicare Dilemma ADMINISTRATION AND SETTLEMENT OF WORKERS COMPENSATION CLAIMS AND THE MEDICARE DILEMMA I. Introduction Craig B. Nichols 2009 Hansen Dordell 3900 Northwoods Drive, Suite 250 St. Paul, MN

### Introduction...2. Definitions...2. Order of Benefit Determination...3

Introduction...2 Definitions...2 Order of Benefit Determination...3 COB with Medicare...4 When the HMO Is Primary and Medicare Is Secondary... 4 When Medicare Is Primary Payer and the HMO Is Secondary...

### Medicare Indemnity and Defense by Federal Mandate?

Medicare Indemnity and Defense by Federal Mandate? Christian R. Johnson Ebanks Horne Rota Moos LLP 1301 McKinney, Suite 2700 Houston, TX 77010 (713) 333-4500 (713) 333-4600 [fax] cjohnson@ethlaw.com www.ethlaw.com

### Workers Compensation Update Special Edition: Medicare Secondary Payer

By Roy Franco, Mark Noonan, and Stephanie Sorensen Medicare Secondary Payer Update The Medicare Secondary Payer Act (MSPA) 1 is a game-changer for claims offices across the country. The additional reporting

### Medicare in Personal Injury Claim Settlements: Complying with Reporting Requirements and Satisfying Liens

Presenting a 90-Minute Encore Presentation of the Teleconference with Live, Interactive Q&A Medicare in Personal Injury Claim Settlements: Complying with Reporting Requirements and Satisfying Liens TUESDAY,

### NEGOTIATING WITH MEDICARE AND MEDICAID

NEGOTIATING WITH MEDICARE AND MEDICAID I. MEDICARE PROVIDES HEALTHCARE COVERAGE A. Persons 65 Years Old and Older B. Certain Disabled Persons under 65 C. Persons with End-Stage Renal Disease II. MEDICARE

### Policy and Procedures for Recoupment: Lump-Sum Workers Compensation Settlements

Policy and Procedures for Recoupment: Lump-Sum Workers Compensation Settlements Effective Date: October 1, 2013 Revised: January 4, 2015 I. Authority A. The James Zadroga 9/11 Health and Compensation Act

### Michigan Property & Casualty Guaranty Association P.O. Box 531266 Livonia, Michigan 48153-1266 Phone: (248) 482-0381

Michigan Property & Casualty Guaranty Association P.O. Box 531266 Livonia, Michigan 48153-1266 Phone: (248) 482-0381 Dear Claimant: The Michigan Property & Casualty Guaranty Association ("the MPCGA") is

### Medicare Update: Information to Help with the Darkness of Medicare Compliance. Peter H. Wayne IV, Esq.

FOR PUBLICATION IN THE 2012 WINTER EDITION OF THE ARKANSAS TRIAL LAWYERS ASSOCIATION S DOCKET Medicare Update: Information to Help with the Darkness of Medicare Compliance Peter H. Wayne IV, Esq. No matter

### MEDICARE AND WORKERS= COMPENSATION CLAIMS WHO=S ON FIRST? Michael E. Rusin. January, 2002

MEDICARE AND WORKERS= COMPENSATION CLAIMS WHO=S ON FIRST? Michael E. Rusin January, 2002 Michael E. Rusin Rusin Maciorowski & Friedman, Ltd. 10 South Riverside Plaza, Suite 1530 Chicago, IL 60606 (312)

### MEDICARE and MEDICAID UPDATE

MEDICARE and MEDICAID UPDATE State Bar of Texas 29 th Advanced Personal Injury Law Course Dallas, Texas - 7/10-12 San Antonio, Texas - 9/7-9 Houston, Texas - 9/28-30 Pi-Yi Mayo* 5223 Garth Road Baytown,

### LIENS, SETTLEMENTS, WORKERS COMPENSATION CONSIDERATIONS

LIENS, SETTLEMENTS, WORKERS COMPENSATION CONSIDERATIONS By G. Grant Dixon III Dixon Law Office 1415 West 55 th Street Suite 104 LaGrange, Illinois 60525 (708) 354-9880 What are the 2 issues you deal with

### 8/17/2012. Workers Compensation Institute. Learning Objectives. Agenda. 2012 Educational Conference

Workers Compensation Institute 2012 Educational Conference Seeing the Forest through the Trees: MSA/LMSA Trends Celia Mendez, Esq. Cynthia Sage, Esq. Rafael Gonzalez Moreland & Mendez FCCI Insurance Gould

### MEDICARE SET-ASIDE UPDATE

MEDICARE SET-ASIDE UPDATE I. Social Security Disability Benefits A. Social Security Disability Income (SSDI) B. Obtained via application to the Social Security Administration C. Informal Hearing process

### QUALIFIED INCOME TRUSTS. A Qualified Income Trust can only be used for applications filed on or after [INSERT DATE].

QUALIFIED INCOME TRUSTS A Qualified Income Trust can only be used for applications filed on or after [INSERT DATE]. The Division of Medical Assistance and Health Services (DMAHS) provides this information

### Understanding the Medicare, Medicaid and SCHIP Extension Act of 2007

Understanding the Medicare, Medicaid and SCHIP Extension Act of 2007 CNA believes we are more than your underwriting and risk management provider. Our ongoing customer service, technical support, and consultative

### Best Practices for Complying with New Medicare Reporting Requirements What Every Attorney Needs to Know By Ervin A. Gonzalez, Esq.

Best Practices for Complying with New Medicare Reporting Requirements What Every Attorney Needs to Know By Ervin A. Gonzalez, Esq. I. Overview: How does the MMSEA impact personal injury and mass tort settlements?

### Creative Settlements & Medicare Set-Asides Presented By: Stephen P. Largent, Esq.

Creative Settlements & Medicare Set-Asides Presented By: Stephen P. Largent, Esq. P.O. Box 170970 Milwaukee, WI 53217 (414) 236-5465 steve@largentlawllc.com HISTORY: Medicare was enacted in 1965 as a primary

### Risk Management Division Municipal Manager Anchorage: Performance. Value. Results.

Risk Management Division Anchorage: Performance. Value. Results. Purpose Minimize the financial impact and loss of Human resources, from known and unknown events and accidents. Core Services Process auto

### SPECIAL TOPICS IN GUARDIANSHIP COMPROMISING CLAIMS FOR MINORS AND INCAPACITATED ADULTS. November 8, 2013

SPECIAL TOPICS IN GUARDIANSHIP COMPROMISING CLAIMS FOR MINORS AND INCAPACITATED ADULTS November 8, 2013 Stephanie F. Brown McMickle, Kurey & Branch 200 South Main Street Alpharetta, GA 30009 (678) 824-7800

### MAXIMIZING REIMBURSEMENT THROUGH COORDINATION OF BENEFITS

MAXIMIZING REIMBURSEMENT THROUGH COORDINATION OF BENEFITS D O U G L A S T U R E K S E N I O R V I C E P R E S I D E N T A L E G I S R E V E N U E G R O U P, L L C S H A R E H O L D E R T U R E K D E V

### Solutions to New Medicare Compliance Rules: A Presentation to the National Council of Self-Insurers. National Coverage

Solutions to New Medicare Compliance Rules: A Presentation to the National Council of Self-Insurers National Coverage Medicare Crisis Medicare is now paying out more than it takes in. Healthcare costs

### Medicare Secondary Payer (MSP) NCHFMA 2014

Medicare Secondary Payer (MSP) NCHFMA 2014 1 Disclaimer The information provided in this presentation was current as of 1/10/2014. Any changes or new information superseding the information in this presentation

### Data Transmission Method Selection Monday, October 5, 2015

Slide 1 - of 17 Welcome to the Data Transmission Method Selection course. Note: This module only applies to Responsible Reporting Entities (RREs) that will be submitting Section 111 claim information via

### Private Fee-For-Service -----Provider Questions and Answers

Private Fee-For-Service -----Provider Questions and Answers 1. What qualifications must a health care provider have in order to be eligible to furnish services to Medicare beneficiaries who are enrolled

### The Medicare Tsunami. Bigger than Medicare Set Asides. Stronger than the Medicare Secondary Payer Act. Faster than the end of the recession

The Medicare Tsunami Bigger than Medicare Set Asides Stronger than the Medicare Secondary Payer Act Faster than the end of the recession A Tsunami you can plan for 1 2 Outline Medicare Eligibility MSA

### Liability Insurance (Including Self-Insurance), No-Fault Insurance, and Workers Compensation

MMSEA Section 111 Medicare Secondary Payer Mandatory Reporting Liability Insurance (Including Self-Insurance), No-Fault Insurance, and Workers Compensation USER GUIDE Chapter III: POLICY GUIDANCE Rev.

### Personal Injuries Happen. Justice Is Sought. Special Needs Must Be Addressed. Special Needs Require Special Settlement Planning

Personal Injuries Happen. Justice Is Sought. Special Needs Must Be Addressed. Special Needs Require Special Settlement Planning Why Use the Special Needs Law Firm? In most personal injury cases, the path

### MEDICAID BASICS BOOK Third Party Liability

Healthy Connections Visual MEDICAID BASICS BOOK Third Party Liability An illustrated companion to the interactive courses at: MedicaideLearning.com. This topic includes content from the exclusive Third

### South Carolina Lawyer

40 South Carolina Lawyer SMART Act A Ray of Hope on Medicare Lien Issues By Ken W. Harrell and Melissa A. Fried PHOTO BY GEORGE FULTON Civil rights activist Fannie Lou Hamer s tombstone is engraved with

### Automobile Insurance & the Use of ICD 10 Codes. April 17, 2012 Baltimore, MD

Automobile Insurance & the Use of ICD 10 Codes April 17, 2012 Baltimore, MD American Insurance Association, Washington, DC The American Insurance Association (AIA) is the leading property-casualty(p/c)

### Workers Compensation Provider Billing Guidelines

Billing transactions are covered under Chapter 127 (127.201 through 127.211) of the Workers Compensation Act (the Act) for the State of Pennsylvania: Workers Compensation Medical Cost Containment rules

### CRIME VICTIM COMPENSATION APPLICATION

CRIME VICTIM COMPENSATION APPLICATION Michigan Department of Community Health For Office Use Only: Claim Number: Cross Reference Number: AUTHORITY: PA 223 of 1976 COMPLETION: Is Voluntary, but is required

### WHITE PAPER The Hidden Complexity of Accident Claims Management. Why it might not make sense to bring it in-house

WHITE PAPER The Hidden Complexity of Accident Claims Management Why it might not make sense to bring it in-house Ensuring proper management of accident claims is a highly complex process that requires

### Lien Resolution in Personal Injury Cases

SPECIAL REPORT Lien Resolution in Personal Injury Cases This Special Report is brought to you by HOOK LAW CENTER Legal Power for Seniors Tel: 757-399-7506 Fax: 757-397-1267 Locations: Virginia Beach 295

### To Settle or Not to Settle? That Is the Medicare Question!

To Settle or Not to Settle? That Is the Medicare Question! Jay Barry Harris Jennifer Tatum Root Fineman Krekstein & Harris, P.C. BNY Mellon Center 1735 Market Street, Suite 600 Philadelphia, PA 19103 (215)

### Liability Insurance (Including Self-Insurance), No-Fault Insurance, and Workers Compensation USER GUIDE

MMSEA Section 111 Medicare Secondary Payer Mandatory Reporting Liability Insurance (Including Self-Insurance), No-Fault Insurance, and Workers Compensation USER GUIDE Chapter IV: TECHNICAL INFORMATION

### MMSEA Section 111 Medicare Secondary Payer Mandatory Reporting

MMSEA Section 111 Medicare Secondary Payer Mandatory Reporting Liability Insurance (Including Self-Insurance), No-Fault Insurance, and Workers Compensation USER GUIDE Chapter V: APPENDICES Version 4.7

### Quick Reference Guide Version 1 January 19, 2012

Centers for Medicare & Medicaid Services (CMS) MMSEA Section 111 Mandatory Insurer Reporting Quick Reference Guide Version 1 January 19, 2012 For Non-Group Health Plan (NGHP) Insurers The What, Why and

### COMMERCIAL EXCESS LIABILITY POLICY DECLARATIONS

COMMERCIAL EXCESS LIABILITY POLICY DECLARATIONS Policy No. Renewal 1. NAMED INSURED AND MAILING ADDRESS 2. POLICY PERIOD From To 12:01 A.M. standard time at your mailing address shown above. : 3. LIMITS

### Pennsylvania Mini-Cobra Law

Pennsylvania Mini-Cobra Law Pennsylvania Insurance Department On June 10, 2009 Governor Edward G. Rendell signed Act 2 of 2009 to help address the growing need to extend health care options for those newly

### TORT CLAIM FORM PACKET

TORT CLAIM FORM PACKET Please carefully read all of the information in this packet before completing and presenting your Tort Claim Form. Documents Contained in the Tort Claim Form Packet Instructions

### LEGISLATIVE BILL 951

LEGISLATURE OF NEBRASKA ONE HUNDRED THIRD LEGISLATURE SECOND SESSION LEGISLATIVE BILL Introduced by Lautenbaugh,. Read first time January, 0 Committee: Business and Labor A BILL FOR AN ACT relating to

### United Healthcare Corporation Class Action Litigation

United Healthcare Corporation Class Action Litigation Frequently Asked Questions 1. Overview 2. What benefits does the Settlement provide? 3. Why did I receive this information when I was never a subscriber

### Medicare Bad Debts. How to collect Medicare Bad Debt on the Cost Report. Medicare Bad Debt. Medicare Bad Debt. When to write off a Medicare Bad Debt

How to collect on the Cost Report Promoting Access to Health Care Julie Quinn, CPA VP, Cost Reporting & Provider Education Health Services Associates Southeast Regional Office 2 East Main Street 54 Pheasant

### VIRGINIA ACTS OF ASSEMBLY -- 2015 SESSION

VIRGINIA ACTS OF ASSEMBLY -- 2015 SESSION CHAPTER 585 An Act to amend and reenact 38.2-2206 of the Code of Virginia and to amend the Code of Virginia by adding in Article 7 of Chapter 3 of Title 8.01 a

### (202) 223-8904 holmesd@uwcstrategy.org. Catherine Stanton (516) 471-1748 cstanton@workerslaw.com

FOR IMMEDIATE RELEASE Contact: Douglas Holmes (202) 223-8904 holmesd@uwcstrategy.org Catherine Stanton (516) 471-1748 cstanton@workerslaw.com SUPPORT FOR LEGISLATION TO IMPROVE THE ADMINISTRATION OF MEDICARE