Medicare Secondary Payer: What's Next For You?
A recording of the webinar, "Medicare Secondary Payer: What's Next For You?" held on Wednesday, November 3, 2010, is now available. Access the recording by clicking here. You may be prompted to complete a short form before viewing the webinar.
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Webinar overview:
With everyone's focus over the past several years on getting a reporting solution in place to transmit data to CMS, now is the time to zero in on what's next in the process. As of October 1, 2010 Responsible Reporting Entities (RREs) are now required to collect data about settlements, awards or judgments that are made to Medicare beneficiaries. This information will be held until January 1, 2011 when the RRE is required to submit it during a designated period in the first quarter. Each quarter thereafter, the RRE will be required to submit its next batch of the information it collected during the previous quarter. Every claim record submitted will contain over 130 fields of data. What will Medicare do with this information?
Look no further than the MMSEA Section 111 User Guide for the answer. Medicare advises us that the information provided will "enable and appropriate determination concerning coordination of benefits, including any applicable recovery claim." In other words, Medicare will research any payments it may have made connected to the accident or injury and if it was not already paid, will seek reimbursement. Will you have to pay Medicare if you have already paid the settlement, award or judgment to the Medicare beneficiary? The answer is yes and this webinar will highlight these exposures so you can better plan and protect yourself. The penalties were just to get your attention. Other exposures now exist with the information provided to Medicare.
Join DAVID Corporation and Roy Franco of FrancoSignor for a one-hour session to find out the answers to these questions:
-What will Medicare do with the information that you are reporting?
-Will you have to pay Medicare if you have already paid the settlement, award or judgment to the Medicare beneficiary?
-What exposures are associated with the reported data?
Roy Franco is one of the three founders of Franco Signor LLC, a Medicare Secondary Payer Compliance Company. Before joining his new venture, he worked for Safeway Inc., as its Corporate Director of Risk Management having responsibility for its strategic initiatives. Over his 17 year career at Safeway he managed the Company's liability self administered claim operations and experienced firsthand the impact of the Medicare Secondary Payer Act on achieving finality in resolving claims. His concerns over contingent liability created by this law led him to start a grass roots campaign to explore potential solutions that would promote the long standing public policy of settlement. This initiative led to the formation of the Medicare Advocacy Recovery Coalition (MARC) which has successfully served as an industry voice to Centers for Medicare & Medicaid Services (CMS). As co-chair of MARC, he has been able to lead MARC to obtain two delays in implementation of Section 111 and introduce legislation to amend some of the law's inequities. He is recognized as a national expert on the Medicare Secondary Payer topic and recently co-authored a book about it available through juris publishing.
