EXACTLY WHEN AND HOW MUCH WILL YOU OWE IN MEDICARE CIVIL MONEY PENALTIES?

DESCRIPTION

Medicare is now reviewing 250 of the latest reported files every quarter to determine whether responsible reporting entities are providing Medicare with the required elements on a timely basis. And if such mandatory components are not reported timely, Medicare is analyzing the late nature of such reporting and levying civil money penalties accordingly. The Panel, made up of Medicare Secondary Payer experts, will introduce non-group health plans Medicare secondary payer mandatory insurer reporting requirements and how civil money penalties apply. They will examine 5 workers compensation claim scenarios and discuss the possibilities for and probable amounts of civil money penalties for late reporting of ongoing responsibility for medical and total payment obligation to claimant.

TARGET AUDIENCE

Workers compensation claims professionals, including adjusters, claim managers, unit supervisors, department leaders, and executives responsible for claims management, resolution, and financing would benefit greatly from attendance. In addition, attorneys representing self-insured employers, insurance carriers, and third party administrators would also benefit from knowing and understanding the ramifications of Medicare Secondary Payer mandatory reporting non-compliance. And of course, all professionals, whether internal or outsourced, dealing with Medicare Secondary Payer mandatory insurer reporting issues on behalf of any responsible reporting entity will benefit greatly from the details presented.

AGENDA

• Mandatory Reporting and Civil Money Penalty Timeline
• Reminders on Query Process
• Reminders on Query and Reporting Process
• Reminders on Reporting ORM, ICDs, and TPOC
• Scenario 1A and 1B – Comprehensive Compliance
• Scenario 2A and 2B – ORM and TPOC Noncompliance
• Scenario 3A and 3B – Effect of Incorrect ORM Reporting
• Scenario 4A and 4B – Effect of Incorrect TPOC Reporting
• Scenario 5A and 5B – Effect of Not Reporting WCMSA Data
• Take Aways

Lock in early-bird pricing with code Early50: $99 through July 1. After July 1, regular price $149.