Liability Medicare Set-Asides

At the 2016 NAMSAP Annual Conference, a panel provided an overview of how CMS is handling liability Medicare set-aside arrangements. The panel was: David Cherry – Cherry Injury Firm Roy Franco – Franco Signor, LLC Thomas Spratt – NuQuest There are significant differences between workers’ compensation and liability Medicare set-asides. Workers’ compensation benefits are statutory […]

Adventures in Allocating

At the 2016 NAMSAP Annual Conference, a panel discussed pricing methodologies for Medicare Set Asides. The panel was Beth Hostetler – Safeway Albertson’s Christine Melancon – EZ-MSA Services Jake Reason – EK Health Services CMS looks for trends in the treatment in making allocating recommendations. Many regions want to see 4 doctors visits on the […]


Safe Harbor Provisions in the SMART Act

At the 2016 NAMSAP Annual Conference Monika Boswein from Acuity and Katie Fox from Franco Signor LLC discussed issues around conditional payments and safe harbor provisions in the SMART Act. When you are considering potential penalties and compliance issues one thing to keep in mind is that safe harbor’s are triggered by reporting. If you […]


Medicare Advantage Case Law

At the 2016 NAMSAP Annual Conference a panel discussed cases around the country on the reimbursement rights of private entities. The panel was: Ciara Kobe – Burns White Heather Sanderson – Franco Signor, LLC Jennifer Jordan – MEDVAL Lee Yeakel – Judge US District Court, Western District Texas Medicare Advantage plans are private healthcare plans […]


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