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MSP Webinar

  
  
  

Medicare True or False?

Spotting MSP Issues Through Real Life Case Examples

Date/Time: March 13, 2012 Two Sessions:

10:00-11:15 a.m. (EST) register here

or

2:00-3:15 p.m. (EST) register here

Crowe Paradis will provide all attendees with a Certificate of Completion. This course, however, is not accredited by the CEU Institute.

Presenter: Mark Popolizio, Esquire Section 111 Senior Legal Counsel

Jessica C. Smythe to speak at the 2012 Claims and Litigation Management Alliance Conference

  
  
  
Ms. Jessica C. Smythe, Esq., CMSP, MSCC, has been selected to speak at the 2012 Annual Conference of the Claims and Litigation Management Alliance (CLM). Ms. Smythe is slated to speak on the topic of Emerging Trends in Medicare Compliance.

Ms. Smythe is National MSP Sales Consultant for Crowe Paradis Services Corporation. Prior to joining Crowe Paradis, Ms. Smythe's practice areas included the defense of liability and workers' compensation claims. Her clients included national and international corporations, self insured entities, third party administrators and insurance carriers. In the course of the representation of her clients, Ms. Smythe faced the impact of Medicare compliance on claims handling and litigation on a day to day basis and uses this practical knowledge in her current Medicare compliance training.

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MMSEA Section 111 Update

  
  
  

Breaking Down CMS’ New User Guide, Liability TPOC Reporting Thresholds & Other “Hot Topic” Issues

Date/Time:
January 24, 2012
Two Sessions:
10:00 – 11:15 a.m. (EST)  register here
or
2:00-3:15 p.m. (EST) register here
Presenter:
Mark Popolizio, Esquire
Section 111 Senior Legal Counsel

 

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Sales Openings

  
  
  

Crowe Paradis is currently looking for Sales team members across the US.

CMS Announces New Self-Calculated Final Conditional Payment Amount Option for Certain Liability Claims

  
  
  
By: Mark Popolizio, Esquire
Section 111 Senior Legal Counsel
Crowe Paradis Services Corporation

The Centers for Medicare and Medicaid Services (CMS) will implement a new Self-Calculated Final Conditional Payment Amount option beginning in February 2012 through which Medicare’s “final” conditional payment amount may be obtained prior to certain liability settlements, judgments, awards, or other payments.  This option will be limited to liability cases involving physical trauma injuries where treatment has been completed and which otherwise meet CMS’ qualifying criteria as listed below.

MMSEA Section 111 Bulletin:

  
  
  

December 14th CMS Technical & Policy Call

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Breaking Down CMS' New Section 111 TPOC Reporting Extensions & QSF Reporting Exception

  
  
  

Read our article in the Florida Association of Self Insured's.

CMS Releases RFP For MSP Business Program Operations Contract

  
  
  

The Centers for Medicare and Medicaid Services (CMS) has released a request for proposal (RFP) designated as a “Business Program Operations Contract” related to Medicare Secondary Payer Compliance (MSP).

6th Circuit Rules in Medicare’s Favor in Hadden v. U.S.

  
  
  

On November 21, 2011, the U.S. Sixth Circuit Court of Appeals (Judge Kethledge) rendered its long-awaited decision in Hadden v. United States.  In a 2-1 ruling, the court held that Medicare was entitled to recover 100% of its conditional payment demand asserted in this case regardless of the fact that the plaintiff may have received a reduced settlement or that the settlement compensated the plaintiff for only a portion of his damages.  Oral argument on this case was heard last year on October 13, 2010 and CPSC attended the hearing.  After over a year’s wait, the court rejected Hadden’s core argument that Medicare’s conditional payment claim can be reduced based on comparative fault principles.

Donald Berwick Resigns as Head of Medicare Program

  
  
  
Donald Berwick Resigns as Head of Medicare Program   This afternoon the White House reportedly announced that Donald Berwick will be stepping down as head of the Centers for Medicare & Medicaid Services effective December 2nd.  Berwick will be replaced by Marilyn Tavenner who formerly was the top health official for Virginia.  The resignation was prompted when 42 Republican senators reportedly asked President Obama to withdrawn Berwick’s nomination.  Berwick had been installed in a recess appointment in July 2010, meaning that he had never been formally approved by the Senate.  Tavenner has been with CMS since February 2010 and currently serves as Principal Deputy Administrator.
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