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Medicare Compliance Education
Crowe Paradis offers unique cutting edge presentations to provide you and your staff with all the tools necessary to comply with the Medicare Secondary Payer Statute. We are uniquely positioned to provide this training and offer CEU credits. We believe effective MSP compliance and customer service demands this level of knowledge and commitment. Our training is designed and crafted to provide practical solutions to complex issues. Among our unparalleled qualifications include:
- Authors and Co-Authors of numerous publications on Medicare compliance, including:
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In-House Defense Quarterly, “Meeting Statutory Duties to Medicare and Your Client.”
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Mealey’s Managed Care Liability Report, “The MSP Statute: Impact of the Medicare Prescription Drug, Improvement & Modernization Act Of 2003”
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New Jersey Law Journal, “The Expanding Reach of the Medicare Secondary Payer Statute.”
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New Jersey Lawyer, “The Medicare Secondary Payer Statute: Safeguarding Medicare’s Interests.”
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Mealey’s Managed Care Liability Report, “Ensure Compliance with the Medicare Secondary Payer Statute.”
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Mealey’s Litigation Report: Employer Liability Insurance, “The Medicare Secondary Payer Statute.”
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Andrews Health Law: “The Medicare Secondary Payer Statute.”
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Geaney”s Manual on Workers’ Compensation: “Medicare Compliance.”
- American Insurance Association (AIA)
- Defense Research Institute (DRI)
- The National Structured Settlement Trade Association (NSSTA)
- The National Alliance of Medicare Set-Aside Professionals (NAMSAP
- The American Society of Workers’ Compensation Professionals (AMCOMP)
- Disability Management Employer Coalition (DMEC)
- Public Risk Management Association (PRIMA)
- The American Inn of Court Program
- American Trial Lawyers Association (ATLA)
- Judges of the New Jersey Division of Workers’ Compensation
- University of Mississippi
- University of Florida
- New York Claims Association
- MediPro Seminars LLC
- Council on Education
- Lorman
- California Workers’ Compensation Forum
We offer the following standard training programs and would also be happy to customize any program to meet your individual requirements.
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Basic Medicare Set-Aside’s (1 hour) – This program is designed to provide training on the fundamental aspects of Medicare Compliance. Topics include: Background, Purpose, Thresholds, Conditional Payments, MSAs, Administration options, Funding options, and 10 overlooked compliance issues.
- Advanced Medicare issues (1 hour) – This program is designed to move beyond the basics of Medicare compliance and focus on issues that can make a difference in resolving complex cases. Legal Advocacy, Denied Claims, Zero Allocations, Challenging Conditional Payments, Medical Advocacy, Pharmacy issues, Utilization review issues, Settlement Strategies, Funding options, Reversionary interests, and Non-Threshold cases.
- CMS Policy Memos (1 hour) – This program walks the audience through the CMS Policy Memos which have shaped this industry. From July 2001 to Present the audience will get an in-depth look at the framework of Medicare compliance.
- Conditional Payments (1 hour) – This program focuses extensively on conditional payments: Statutory framework, Advocacy, Negotiation, Settlement strategies and language.
- Post Settlement Administration (1 hour) – This program takes an in-depth look at administration options. What are the options? What are the risks? What are factors that need to be considered in order to avoid potential exposure?
- Impact of Medicare on Liability Cases (1 hour)– This program takes an in-depth look at the role of Medicare in liability cases: Conditional Payments, MSA’s, Statutory Framework, Industry Trends, Case Law and Legislation.
Our training, however, does not end when we leave your office. Our nurses and attorneys on staff are readily available to take your calls and answer specific questions. This one-on-one training and assistance is absolutely invaluable to ensure that you are working with the best set of facts and you are compliant with state and federal law.
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