Christine Hummel, Esq. is the President and founder of Hummel Consultation Services, a legal consultation practice specializing in the application of the Medicare Secondary Payer Act. An active attorney with licensure in the state of Colorado, she earned her Juris Doctor from the University of Denver in May 2000. Christine focused her internships on Medicare compliance for two years before earning her degree, and continues to practice in this field of law. In 2002 Christine opened her own firm. With seventeen years of experience, Christine is a published author and popular speaker on a wide array of topics related to Medicare compliance. She is a member of the American Bar Association, the Colorado Bar Association, and the ABA Health Law Section, and includes with her legal experience work in Medicaid, probate, and elder law. Christine donates a significant amount of volunteer time giving presentations on the roles of women throughout multiple time periods in history.
Medicare Secondary Payer Act: New Changes to Enforcement & How They Impact Your Liability or No Fault Case
CLE Credits earned: 2 GEN
This program will focus on the application of the Medicare Secondary Payer Act (MSP) to Liability and No Fault cases. Of note, the program will include a detailed discussion of the October 2017 changes to the Medicare Common Working File, as well as anticipated MSP enforcement changes expected in 2018, and how these changes impact your Liability or No Fault case. The program will include an introduction to the MSP statute and then a detailed discussion of the three requirements of the statute: Section 111 reporting, Reimbursement of Conditional Payments, and ensuring Medicare remains as a secondary payer with settlement proceeds remaining the Primary payer for post-settlement accident related medical treatment. Time permitting; the CLE will also discuss recent case law developments (CIGA, Aranki, and the 2016 Humana decision).
This course is co-sponsored with myLawCLE.
Key topics to be discussed:
• New! 2017 changes to the Common Working File
• Anticipated expansion of the MSA review process in 2018
• The Final CP Process and how to decide if it is right for your case
Date / Time: November 2, 2018
• 2:00 pm – 4:00 pm Eastern
• 1:00 pm – 3:00 pm Central
• 12:00 pm – 2:00 pm Mountain
• 11:00 am – 1:00 pm Pacific
Choose a format:
• Live Video Broadcast/Re-Broadcast: Watch Program “live” in real-time, must sign-in and watch program on date and time set above. May ask questions during presentation via chat box. Qualifies for “live” CLE credit.
• On-Demand Video: Access CLE 24/7 via on-demand library and watch program anytime. Qualifies for self-study CLE credit. On-demand versions are made available 7 business days after the original recording date and are view-able for up to one year.
myLawCLE seeks accreditation for all programs in all states. (Accreditation for paralegals sought thru NALA and NFPA paralegal associations.) Each attending attorney/paralegal will receive a certificate of completion following the close of the CLE program as proof of attendance. In required states, myLawCLE records attorney/paralegals attendance, in all other states attorney/paralegal is provided with the approved CLE certificate to submit to their state bar or governing association.
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Applied MCLE Approvals
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Accreditation on Formats: Live Video Broadcasts, “Live” Re-Broadcasts and On-Demand CLEs
Live Video Broadcasts
Live video broadcasts are new live CLE programs being streamed and recorded for the first time. All of these programs qualify for “Live” CLE credit in all states except LA and PA—these two states require in-person attendance to qualify for “Live” CLE credit.
“Live” Re-broadcasts are replays of previous recorded CLE programs, set on a specific date and time and where the original presenting speakers calls in live at the end of the event to answer questions. This “live” element allows for “live” Re-broadcast CLEs to qualify for “Live” CLE credits in most states. [The following states DO NOT allow for “live” CLE credits on re-broadcast CLEs: NM and LA.]
On-demand CLE classes are available 24/7 via the myLawCLE portal. Attendance to these classes is monitored and recorded via our login process and a certificate of completion is issued upon the close of viewing the program. These CLEs can be viewed at anytime and only qualify for self-study CLE credits.
Many states allow for credit to be granted on a 1:1 reciprocal basis for courses approved in another mandatory CLE jurisdiction state. This is known as a reciprocity provision and includes the following states: AK, AR, CO, CT, FL, GA, ME, MO, MT, ND, NH, NJ, NY, PR, SD and WV. myLawCLE does not seek direct accreditation of live webinars or teleconferences in these states.
myLawCLE Credit Guarantee
Additionally, on all online CLE programs application for approval will be made in all states where attending attorneys are primarily licensed in. If a registered attorney does not receive credit from their state for any reason, a full refund will be granted.
Section I. Introduction to Medicare and the Medicare Secondary Payer Act
a) How does a person qualify for Medicare
i. By age
ii. By receives SSD
b) Can younger persons/minors qualify for Medicare
c) What is the MSP statute
Section II. Section 111 Reporting
a) Who is required to report
b) When must they report
c) What must they report
d) Why is the reporting requirement important to Plaintiff’s
Section III. Reimbursement of Medicare Conditional Payments
a) Medicare A/B conditional payment searches
i. Disputes of A/B charges including a discussion of the CIGA case
ii. Waiver vs compromise requests
b) The CRC vs BCRC
i. How this may complicate your Automobile case
c) Medicare Part C and Part D conditional payment recoveries
i. Case Law discussion, including the 2016 Humana Case and the In re Avandia case
d) The Final CP Process
Section IV. Future Medical Allocations/Medicare Set Asides
a) When is Medicare secondary to your settlement
b) How does CMS/Medicare determine a settlement is primary to Medicare
c) How do the October 2017 changes to the Common Working File impact settlements
d) What treatment should an MSA /future medical allocation pay for and how is this determined
e) Discussion of anticipated expansion of the formal MSA review process in 2018
f) Discussion of the Aranki case
g) What are we expecting in 2018?