Medicare Telephone Seminars

Medicare Secondary Payer Act: Protecting Medicare's Interest In Insurance Settlements ...uant to 42 USC Section 1395y(b)(2), commonly known as the Medicare Secondary Payer Act, Medicare may not make payment for medical benefits where payment has been made or can reasonably be expected to be made under a workers' compensation law or plan of the United States or a state, or under an automobile or liability insurance policy or plan (including a self-insured plan), or under no fault  more...

Workers' Compensation Benefits: Who is Eligible, How are They Calculated, When and How Can They be Settled BenefitsWorkers' compensation benefits are a continuing and significant expense to employers. This live audio conference will address who is eligible for workers' compensation benefits, how these benefits are calculated and what employee benefits may be offset with the payments of workers' compensation, and most important, how to resolve or settle a claim without creating additional liability for  more...

Key Legal and Practical Considerations When Forming an ACO: Seizing the Opportunities and Overcoming Challenges to Achieve Qual ...g-awaiting Final Rule governing ACOs participating in the Medicare Shared Savings Program (MSSP) provides the industry with an improved outlook of the potential success that may be achieved, but also a daunting list of challenges to be met in order to seize the opportunities. This live audio conference will walk you through the legal, regulatory, policy, and practical challenges and solutions  more...

Considering Medicare's Interest in Future Medical Expenses While Avoiding MSA Overfunding ...Medicare compliance in workers' compensation and liability cases in which future medical expenses are likely to be incurred. We will explore the legal obligations of injured persons, insurers, and employers in compliance with the Medicare Secondary Payer Act when settling workers' compensation and liability cases. Explore alternatives to submission for CMS approval as a means of compliance.  more...

IPPS Final Rule ...fort to better control the costs of providing care to the Medicare inpatient and to incentivize hospitals to better manage utilization. As time has passed CMS has modified the program to better recognize severity of illness AND to reduce payments to hospitals for certain quality of care issues such as reducing payment for hospital acquired conditions. This live audio conference is designed to  more...

Economic Substance Doctrine Codification Update ...fication of the Economic Substance Doctrine, expansion of Medicare taxes on high-income earners and the revised reporting requirements on certain payments to corporation. As a result of attending this audio conference, you will become acquainted with several key provisions of the Act and prepare for anticipated revisions within the time line of 2010 through 2018 during which these new laws will  more...

Impact of Health Care Reform on Elder Law ...dability Care Act. This act makes changes to Medicaid and Medicare which includes payment structure and the delivery system. It extends the life of the Part A trust fund by 12 years and strengthens Medicare guarantee benefits. These changes go in effect over a period of years. All the changes do not have direct significance under elder law, but many changes do affect older people and people  more...

Impact of Health Care Reform on Health Care Providers ...care reform legislation also made sweeping changes to the Medicare payment and service delivery systems and strengthened current laws upon which the federal government relies to fight health care fraud, waste and abuse. This teleconference will include a broad overview of the aspects of health care reform legislation of most interest to health care providers and those with whom they do business  more...

Insurance Claim Appeals ...bursement from health care insurance providers, including Medicare and Medicaid. This teleconference will help you understand how first to establish when an appeal can be implemented, when to formally continue to disagree with their findings in writing and what options are available to continue fighting these appeals. The teleconference will explain the methods and options required to obtain  more...

Criminal Liabilities Under HIPAA ...ns, health care clearinghouses, health care providers and Medicare prescription drug card sponsors may be prosecuted criminally for HIPAA violations. With ID theft on the rise, prosecutors are becoming more aggressive in enforcing HIPAA laws, particularly when intent to illegally obtain patient information is involved. In addition, failing to be aware of criminal liability under HIPAA can lull  more...

The Interrelationship Between Social Security Disability, Medicare and Workers' Compensation Settlements ...tion practice: Social Security disability offsets and the Medicare secondary payer statute. Anyone who represents claimants, employers or insurers in workers' compensation claims must understand the interrelationship between Social Security disability, Medicare and workers' compensation settlements. You will learn the necessary steps to take to minimize the Social Security offset that can occur  more...

Healthcare Self-Disclosure Update BenefitsThe program will review these and other key questions: - What options do health care providers have for voluntary disclosure? - What factors should health care providers consider when determining whether a potential violation should be reported? - How have these been changed by health care reform legislation and the Fraud Enforcement and Recovery Act? - How does the position of CMS alter  more...

Staying Compliant with the Medicare Incident-To Rules ...nAt a time when every medical practice dollar counts, the Medicare incident-to billing rules can enable physicians to capture revenue from common services performed by office staff. The incident-to rules, while simple on their face, can be complex in their application and failing to follow each element of the rules can result in overpayments and even false claims liability. Knowing the rules  more...

Paycheck Calculation Basics ...ion of and the maximum deductions for Social Security and Medicare taxes in 2009. n nThere are multiple methods of calculating federal withholding, which one should you use? How does an employee's W-4 affect their paycheck? Also, when calculating taxes on employees with cash tips, we will discuss the priority of withholding taxes. n nIf you've made errors on quarterly returns in 2008, there  more...