Webinar Series - The National MSP Network

Webinar: PAID Act

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The Provide Accurate Information Directly (PAID) Act was enacted into law on December 11, 2020. Currently, workers’ compensation, general liability, and no-fault Responsible Reporting Entities (RREs) are limited to obtaining traditional Medicare Part A and B enrollment PAID Act information through the Section 111 Reporting query process. However, effective December 11, 2021, RREs will be able to learn of an injured party’s Medicare Advantage and Medicare Part D enrollment in the query process as well, so that if they choose, they may inquire with the Medicare Advantage or Part D plan as to any conditional payment liabilities. With Medicare Advantage enrollment at nearly 40% of the Medicare population, and Medicare Advantage plans filing numerous double damages MSP private cause of action lawsuits nationwide, PAID Act was a highly desired reform to the MSP Act.

The webinar will discuss how PAID Act will impact claims processes, what claims handlers need to do now pre-implementation of PAID, and additionally what future best practices should look like once PAID is implemented.

Presenter

Heather Schwartz Sanderson, Esq.
President, Sanderson Firm PLLC

Since the inception of her career, Heather Schwartz Sanderson, Esq. has been passionately devoted to providing simple and straightforward Medicare Secondary Payer (MSP) legal strategy, compliance solutions, as well as MSP education to the insurance and legal communities.

Sanderson has 12+ years of dedicated experience in MSP compliance, and has often been referred to as one of the foremost experts in the country on MSP. Prior to launching Sanderson Firm PLLC, Heather served as Chief Legal Officer for Franco Signor for 6 years, a leading national MSP services provider, until its ultimate acquisition by ISO CP in 2020. Prior to her tenure as CLO at Franco Signor, Sanderson previously served as both Corporate Counsel for Optum as well as Staff Counsel for ExamWorks Compliance Solutions.

Over the last decade, Sanderson has served as an MSP expert both in Federal class action litigation as well as in litigated matters at the state level. She is an award-winning blogger and national speaker on MSP compliance, and a recipient of a 2018 Business Insurance Break Out Award. She serves an Ambassador for the Women to Watch Foundation, a 501(c)(3) entity serving humanitarian initiatives for women. Sanderson has been an active proponent in Washington D.C. for MSP legislative reform since 2011 and is proud of the industry’s accomplishment of the passage of both SMART Act (2013) and PAID Act (2020).