Medicare Secondary Payer Recovery and Sec. 111 Reporting: Duties of Insurers, Primary Payer, Defense Counsel
Complying With MMSEA Requirements for Plan Payers of General Liability and Personal Injury Claims
Recording of a 90-minute CLE video webinar with Q&A
This CLE course will provide guidance to insurance defense counsel and counsel for insurance plan payers for settling general liability and personal injury claims while complying with CMS reporting requirements and satisfying Medicare liens for conditional payments.
Outline
- Medicare as Secondary Payer Act liability
- Liability issues for payers
- Liability issues for defendant's counsel
- Measures to minimize liability in settlements
- Reporting requirements of Section 111 of the MMSEA
- Reporting overview
- Medicare queries
- Settlement agreements and releases
Benefits
The panel will review these and other key issues:
- When should Medicare set-asides be used?
- What are the reporting requirements of Section 111 of the MMSEA?
- What are best practices to ensure compliance when drafting a settlement?
Faculty
John V. Cattie, Jr., Esq.
Managing Partner
Cattie & Gonzalez
Mr. Cattie focuses his law practice exclusively on MSP and MSA issues, providing legal opinions regarding reporting and... | Read More
Mr. Cattie focuses his law practice exclusively on MSP and MSA issues, providing legal opinions regarding reporting and repayment obligations as well as assessing a client’s future medical exposure under the MSP Act. In the MSA area, he has personally reviewed or overseen the review of over 10,000 distinct fact patterns. Federal and state court opinions such as Smith v. Marine Terminals of Arkansas, Tye v. Upper Valley Medical Center, and Doe v. Company X cite his analysis favorably.
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Bruce A. Cranner
Partner
Milling Benson Woodward
Mr. Cranner is a versatile litigator with broad experience over the last forty years defending Medical Liability,... | Read More
Mr. Cranner is a versatile litigator with broad experience over the last forty years defending Medical Liability, Product Liability, Asbestos, and general insurance cases. His commercial litigation practice is centered on healthcare providers and includes non-compete disputes, licensure matters and business disputes. Mr. Cranner serves as the Independent Counsel to the Louisiana Board of Dentistry. He frequently serves as a mediator in complex cases involving Medicare Secondary payer issues, among other issues. Mr. Cranner's experience as a defense trial lawyer has included over 40 jury trials to verdict, including cases involving complex medical issues and serious injuries or deaths. This including trials involving Cardiology, Obstetrics and Gynecology, Pain Management, Orthopedics and toxic substance exposure. Mr. Cranner often defends manufacturers of medical devices, sporting goods and recreational products including exercise equipment, watercraft, motorized vehicles, personal flotation devices, go karts and industrial equipment and munitions. He is national coordinating asbestos trial counsel for an engineering company based in New York involved in litigation across the United States. Mr. Cranner's representative list of cases tried include matters involving Legionnaire’s Disease and refrigerated display cases (Dorman Crowe v Winn Dixie, in which there were 70 claims and 13 deaths); The Consolidated Vitek Jaw (TMJ) Implant Litigation (including Class Action of 25,000.00 plaintiffs—James and Ette v LSU and Dr. Kent); tear gas and OC grenades (Lewis v. CTS—a death case), wakeboard vests (Pickett v Jet Pilot—a death case), and interventional pain management (Sappington v. Hubbell).
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Bridget Smith, JD, MSCC, CMSP
Senior Vice President, National Accounts and Settlement Consulting
IMPAXX
Senior Vice President, National Accounts and Settlement Consulting
| Read MoreSenior Vice President, National Accounts and Settlement Consulting
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