Homestudy, Certificate of Completion is available immediately upon passing the exam.
I. Introduction
A. History of Medicare
B. The Financing of Medicare
C. System Overview
II. The Medicare Secondary Payer Act
A. History and Applicability to Workers’ Compensation
B. 2003 Medicare Modernization Act and Liability Insurers
C. The MSP after the MMA
III. Knowing the Parties and Their Roles
A. MSA Process
B. Adjusters and Examiners
IV. Overview of Workers’ Compensation
V. Overview of Settlements in the Liability System
VI. Speaking the Language: The Acronyms and References
VII. The New Treasure Map: Mandatory Insurer Reporting
A. Responsible Reporting Entities
B. Triggers
C. Frequency
D. What It Means
VIII. Conditional Payments
A. Defined
B. The Reach of CMS 31
C. Recovery Process 33
D. Time Limits to Seek Recovery
E. Impact
F. Compromise
IX. Taking Medicare’s Future Interests into Account
A. Workers’ Compensation
B. Liability Insurers
C. Negotiation Process
X. The Medicare Set-Aside
A. Defined
B. The Basic Medicare Set-Aside
XI. Allocation Issues
A. The $0 Set-Aside
B. Part D Issues
C. Non-Medicare Covered Items
XII. Submission Considerations
A. Workers’ Compensation
B. Liability Cases
C. Compromise (Percentage) Allocations
XIII. Approval
A. Workers’ Compensation
B. Liability Cases
C. Due Process Concerns
XIV. Funding Issues
A. Annuities / Structures
B. Seed Money
C. Separation of Funding
XV. Administration
A. Consideration
B. Duties
C. Common Issues that Arise
D. Exhausting the Account
E. Death of the Claimant
Endnotes and References
Appendix: CMS Memoranda