CERTIFIED MEDICARE SECONDARY PAYER PROFESSIONAL CMSP PROGRAM

 The Program
Day One
History of Medicare Secondary Payer Evolution

The first section of the program briefly reviews the history and overview of Medicare Secondary Payer evolution from 1965 to today. It also includes an overview of workers’ compensation. 

  • What is Workers' Compensation
  • The Benefits in Workers' Compensation
  • How Medicare is Impacted
  • PPD, TTD, Defenses
  • Differences in State Systems
Medicare Secondary Payer Act

This section will discuss the framework for the Medicare Secondary Payer Act.  There will be a review of  regulations and amendments.

  • MSP Regulations and Amendments
  • Future Medicare Payments vs. Past (Conditional Payments)
  • Potential Consequences of non compliance - Future vs. Past
  • Legal Update
Specialty Claims

This section will discuss the intricacies of specialty claims and the MSP Act.

  • Longshore and Harbor Workers' Compensation Act
  • FELA Claims
  • Railroad Claims
Discussion of CMS Memos

There will be a review of all memos and details regarding CMS written policy and procedures.
CMS Structure

An overview of who the entities/players (acronyms) are and how they function. 

  • Role of Attorney
  • Role of the Allocator
  • Role of the Carrier
  • Structured Settlement Broker
  • Medicare and Social Security Administration
  • CMS
  • CMS RO
  • CMS Central Office
  • MSP Central Office
  • WCRC - JV
  • MSPRC
  • COBC
Structured Settlements and Case Resolution - MSAs, SNTs, QSF

This area of discussion includes case settlements and case resolution’s impact on the  Medicare Secondary Payer.

  • Annuities and Structures
  • Special Needs Trust
  • MSA Funding - Lump Sum vs. Structure
  • Role of Structure Settlement Consultant
  • Various Structure Vehicles
  • Calculation of the Initial and Annual
  • Payment for a Structured MSA Arrangement
  • Rated Age
  • Life expectancy
Liability Claims - How are They Different from WC?
Panel Discussion