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Medicare Secondary Payer Compliance in 2023: What NYCA Needs to Know Now


Payers of workers’ compensation, general liability, and no-fault/auto claims will benefit from learning best practice recommendations in efficiently closing out Medicare claims in a cost-effective and compliant manner. Heather will discuss various effective strategies with regard to Medicare Set-Asides (whether you choose to submit or not submit the MSA to CMS), conditional payment recommendations (traditional Medicare and Medicare Advantage Plans), and Section 111 Reporting compliance recommendations to enhance compliance ahead of civil monetary penalties of up to $1000 per day/per claim.

Lastly, the webinar will provide a current status of various proposed rulemakings which will be released in the near future impacting MSAs, Section 111 reporting penalties, and increased litigation by Medicare/Medicare Advantage Plans in conditional payment matters.