The American Association of Nurse Life Care Planners (AANLCP) annual conference is coming together and we are so excited to announce one of our preconference presenters.  Shelene Giles of FIG Services, Inc. will present Medicare Set-Aside (MSA) Education. This Course is taught from a medical perspective. The course includes:

An overview of Medicare/Medicaid
Understanding of the Medicare Set-Aside process
How to request, organize and review medical records that are pertinent to the MSA process
Effective communication with health care providers
Determining future medical care to be included in the MSA report
Identifying Medicare’s coverage and the …

Claimant Mary Ferreira entered into a settlement agreement that included funds for her to establish a Medicare Set-Aside account. The contract stated that Ferreira, not the employer or carrier, be responsible for administering the account. The agreement also provided that the employer/carrier would deposit seed money in the amount of $10,851.08 and $33,694.64 for the purchase of an annuity that would yield $2,154.18 per year, and that amount was final, not subject to change or approval by CMS.
The parties also agreed that if CMS demanded a larger amount, Ferreira would …

The MARC group is seeking transparency between CMS and Primary Plans wtih resprect to conditional payment information, application of state law in the determination of the amount of conditional payments that may be collected, a right of review of CMS decisions on conditional payments, and clear methods of the identification of who is “Medicare eligible” by a primary plan.
Attorny Bill Van Wambeke is the NAMSAP representative on the committee.  If you would like additional information on the issues being raised in Washington, please visit the MARC website at www.marccoalition.com. 

CMS has announced it intends to clarify the language in recovery scenarios where occupational exposures occurred prior to the effective date of the Medicare Secondary Payer Act.  In a recent town hall meeting, Barbara Wright, Bill Decker and others explain some of the reporting requirements and have plans to further clarify the Medicare as Secondary Payor recovery language.  Additional town hall meetings have been scheduled as CMS ramps up for the upcoming mandatory reporting requirements.  Stay tuned..