HomeWebcastMedicare Secondary Payer Act: Implications and Impact on Litigation – A 2015 Perspective
Medicare Secondary Payer Act CLE/CPE CLE

Medicare Secondary Payer Act: Implications and Impact on Litigation – A 2015 Perspective

Live Webcast Date: Tuesday, June 23, 2015 from 3:00 pm to 5:00 pm (ET)
Healthcare CLE & CPERecording

Medicare Secondary Payer Act CLE/CPE

Join us for this Knowledge Group Medicare Secondary Payer Act CLE/CPE Webinar. In this CLE course, a panel of seasoned professionals and thought leaders assembled by The Knowledge Group will help the audience identify current trends, impact and implications to litigation; and regulatory, legislative and legal compliance strategies for the Medicare Secondary Payer Act. The Speakers will provide the audience with the best practices and practicalities with the MSP Act. The panel will also help the audience avoid common risks and pitfalls when dealing with the Medicare Secondary Payer Act.

Key topics include:

  • Medicare Secondary Payer Act (MSP Act) - An Overview
  • Section 111 Reporting Requirements
  • Risks Penalties for MSP Act
  • Sanctions for Non-Compliance to MSP Act
  • Scope and Limitation of Medicare Secondary
  • Implementation Issues of MSP Act
  • Impact of MSP Act to Litigation
  • Medicare Compliance Issues

Agenda

Segment 1:
Mr. Zachary B. Pyers, Partner
Reminger CO., L.P.A

  • Medicare Secondary Payer Act (MSP Act) – An Overview;
  • Medicare Eligibility;
  •  Conditional Payment Obligations;
  • Section 111 Reporting Requirements;
  • Future Medicare Considerations; and
  • Risks Penalties for MSP Act/ Sanctions for Non-Compliance to MSP Act

Segment 2:
Mr. Robert J. Finley, Partner
Hinshaw & Culbertson LLP

  • New conditional payment rules for primary payers; and
  • Future Medicals in Liability Insurance Situations after CMS Withdrew Advanced Rule of Proposed Rule Making
     

Segment 3:
Mr. Michael P. Abate, Of Counsel
Dinsmore & Shohl LLP

  • Private Causes of Action under MSPA for Medicare Part C Advantage Plans/Organizations;
  • MSP exhaustion for enrollees, providers, and primary payers; and
  • Federal removal of MSP suits

Who Should Attend

  • Medicare Lawyers
  • Medicare Litigation Analysts
  • Medicare Service Providers
  • Health Industry Professionals
  • Health Care Organizations
  • Healthcare Lawyers 
  • Federal Health Care Facilities
  • Medical Directors
  • Other related/interested Professionals and Organizations

Medicare Secondary Payer Act CLE/CPE

Segment 1:
Mr. Zachary B. Pyers, Partner
Reminger CO., L.P.A

  • Medicare Secondary Payer Act (MSP Act) – An Overview;
  • Medicare Eligibility;
  •  Conditional Payment Obligations;
  • Section 111 Reporting Requirements;
  • Future Medicare Considerations; and
  • Risks Penalties for MSP Act/ Sanctions for Non-Compliance to MSP Act

Segment 2:
Mr. Robert J. Finley, Partner
Hinshaw & Culbertson LLP

  • New conditional payment rules for primary payers; and
  • Future Medicals in Liability Insurance Situations after CMS Withdrew Advanced Rule of Proposed Rule Making
     

Segment 3:
Mr. Michael P. Abate, Of Counsel
Dinsmore & Shohl LLP

  • Private Causes of Action under MSPA for Medicare Part C Advantage Plans/Organizations;
  • MSP exhaustion for enrollees, providers, and primary payers; and
  • Federal removal of MSP suits

Medicare Secondary Payer Act CLE/CPE

Medicare Secondary Payer Act CLE/CPE

Robert J. FinleyPartnerHinshaw & Culbertson LLP

Robert Finley's diverse, multi-jurisdictional civil defense litigation practice includes counsel on Medicare Secondary Payer (MSPA) regulatory and compliance matters affecting interested parties in liability and applicable insurance cases including conditional payment resolution, Medicare Part C Reimbursement claims, future medical settlement considerations, Section 111 reporting compliance/monetary penalties, and statutory private causes of action. His practice is focused primarily in complex, personal injury and employment - based matters, including catastrophic, fatal and brain/psychological injury cases with a substantial amount of experience with jury trials, and representing clients in mediations and arbitration hearings. Mr. Finley also handles commercial causes of action for civil remedies between insurers and medical providers based upon breach of contract, fraud, bad faith, and statutory payment programs. Mr. Finley joined Hinshaw & Culbertson LLP in November 2003 and became a partner in 2008. Recent representative matters include obtaining favorable post-trial relief after jury's itemized verdict finding Defendant trucking company liable to Medicare-eligible Plaintiff, where federal district court's Chief Judge ordered allocation for past and future medical expenses totaling $219,375 payable to court clerk and conditioned release of funds on adequate documentation from Centers for Medicare & Medicaid Services (CMS) considering Medicare's interests. Mr. Finley regularly speaks on best practices under MSPA for liability and insurance professionals including annual engagements at National Institute for Medicare & Medicaid Educational conferences. 

Medicare Secondary Payer Act CLE/CPE

Michael P. AbateOf CounselDinsmore & Shohl LLP

Michael Abate practices appellate and healthcare litigation in the Washington, DC and Louisville, KY offices of Dinsmore & Shohl LLP. Prior to joining Dinsmore, Michael spent more than seven years as an appellate and trial attorney in the Civil Division of the U.S. Department of Justice, briefing and arguing the United States’ most sensitive constitutional, statutory, and administrative law cases in federal courts across the country. For the past two years, Michael has served as national counsel for Humana Inc. in a series of high-profile cases establishing Medicare Advantage Organizations’ rights to sue liability and no-fault insurers for double damages under the Medicare Secondary Payer Act.  Michael is a graduate of Harvard College and Stanford Law School and a former law clerk for Hon. Diana Gribbon Motz on the U.S. Court of Appeals for the Fourth Circuit. 

Medicare Secondary Payer Act CLE/CPE

Zachary B. PyersPartnerReminger CO., L.P.A

Zach Pyers is a Partner in the Columbus, Ohio office of Reminger CO., L.P.A., and is licensed to practice in Ohio, West Virginia and the District of Columbia. His practice focuses on civil litigation, including complex litigation, corporate and commercial litigation, professional liability, product liability, and general liability. Zach has represented numerous professions in professional liability claims, including: doctors, nurses, attorneys, accountants, architects, engineers, surveyors, builders, insurance agents, and investment advisors. In addition to his litigation practice, Zach regularly advises clients on Medicare and Medicaid compliance issues.  Zach is an author of numerous publications and a frequent presenter on topics related to Medicare and Medicaid compliance. Zach is an adjunct professor at Capital University Law School where he teaches the Mock Trial Competition Team.


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Medicare Secondary Payer Act CLE/CPE

Course Level:
   Intermediate

Advance Preparation:
   Print and review course materials

Method Of Presentation:
   On-demand Webcast

Prerequisite:
   NONE

Course Code:
   155307

NASBA Field of Study:
   Specialized Knowledge and Applications

NY Category of CLE Credit:
   Areas of Professional Practice

Total Credits:
    2.0 CLE

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About the Knowledge Group

The Knowledge Group

The Knowledge Group has been a leading global provider of Continuing Education (CLE, CPE) for over 13 Years. We produce over 450 LIVE webcasts annually and have a catalog of over 4,000 on-demand courses.

About the Knowledge Group

The Knowledge Group

The Knowledge Group has been a leading global provider of Continuing Education (CLE, CPE) for over 13 Years. We produce over 450 LIVE webcasts annually and have a catalog of over 4,000 on-demand courses.

Hinshaw & Culbertson LLP is a full-service law firm with approximately 500 attorneys providing coordinated legal services across the United States and in London. Hinshaw lawyers partner with businesses, governmental entities and individuals to help them effectively address legal challenges and seize opportunities. Founded in 1934, the firm represents clients in complex litigation and in regulatory and transactional matters.

Website: https://www.hinshawlaw.com/

Dinsmore & Shohl is a full service law firm with more than 500 attorneys in 16 cities throughout the country, including offices in Chicago, Cincinnati, Denver, Louisville, and Washington D.C.

Website: https://www.dinsmore.com/

Robert Finley's diverse, multi-jurisdictional civil defense litigation practice includes counsel on Medicare Secondary Payer (MSPA) regulatory and compliance matters affecting interested parties in liability and applicable insurance cases including conditional payment resolution, Medicare Part C Reimbursement claims, future medical settlement considerations, Section 111 reporting compliance/monetary penalties, and statutory private causes of action. His practice is focused primarily in complex, personal injury and employment - based matters, including catastrophic, fatal and brain/psychological injury cases with a substantial amount of experience with jury trials, and representing clients in mediations and arbitration hearings. Mr. Finley also handles commercial causes of action for civil remedies between insurers and medical providers based upon breach of contract, fraud, bad faith, and statutory payment programs. Mr. Finley joined Hinshaw & Culbertson LLP in November 2003 and became a partner in 2008. Recent representative matters include obtaining favorable post-trial relief after jury's itemized verdict finding Defendant trucking company liable to Medicare-eligible Plaintiff, where federal district court's Chief Judge ordered allocation for past and future medical expenses totaling $219,375 payable to court clerk and conditioned release of funds on adequate documentation from Centers for Medicare & Medicaid Services (CMS) considering Medicare's interests. Mr. Finley regularly speaks on best practices under MSPA for liability and insurance professionals including annual engagements at National Institute for Medicare & Medicaid Educational conferences. 

Michael Abate practices appellate and healthcare litigation in the Washington, DC and Louisville, KY offices of Dinsmore & Shohl LLP. Prior to joining Dinsmore, Michael spent more than seven years as an appellate and trial attorney in the Civil Division of the U.S. Department of Justice, briefing and arguing the United States’ most sensitive constitutional, statutory, and administrative law cases in federal courts across the country. For the past two years, Michael has served as national counsel for Humana Inc. in a series of high-profile cases establishing Medicare Advantage Organizations’ rights to sue liability and no-fault insurers for double damages under the Medicare Secondary Payer Act.  Michael is a graduate of Harvard College and Stanford Law School and a former law clerk for Hon. Diana Gribbon Motz on the U.S. Court of Appeals for the Fourth Circuit. 

Zach Pyers is a Partner in the Columbus, Ohio office of Reminger CO., L.P.A., and is licensed to practice in Ohio, West Virginia and the District of Columbia. His practice focuses on civil litigation, including complex litigation, corporate and commercial litigation, professional liability, product liability, and general liability. Zach has represented numerous professions in professional liability claims, including: doctors, nurses, attorneys, accountants, architects, engineers, surveyors, builders, insurance agents, and investment advisors. In addition to his litigation practice, Zach regularly advises clients on Medicare and Medicaid compliance issues.  Zach is an author of numerous publications and a frequent presenter on topics related to Medicare and Medicaid compliance. Zach is an adjunct professor at Capital University Law School where he teaches the Mock Trial Competition Team.

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