Do you want to bullet proof your CMS submissions?  This session will provide you with guidance to have an airtight submission, including where common errors or issues are likely to occur and how to appropriately prepare your documentation.

1. Identify submission problem areas where CMS development is likely to occur.
2. Analyze identified areas to develop potential approaches to submission.
3. Determine the course with the highest probability of success/cost mitigation.
4. Construct submissions with the documentation supporting your selected approach.
   

Presenters

Christine Melancon, RN, CMSP-F
Director of Regulatory Compliance, CLARA Analytics

Christine Melancon currently serves as the Director of Regulatory Compliance at CLARA analytics, the leading provider of artificial intelligence (AI) technology in the commercial insurance industry. Previously, Melancon served as an Operations Strategist for Cobalt Compliance Partners, LLC and was the Founder and Vice President of Operations at EZ-MSA.

In the past, Melancon has served as Co-Chair of MSPN’s Education Committee and as a Board Member and Officer of the assocation. She enjoys educating others who desire to learn more about Medicare Secondary Payer Compliance issues and is a frequent speaker at various events, as well as an instructor for the Louisiana Association of Self-Insured Employers’ (LASIE) Certified Medicare Secondary Payer Professional Fellow (CMSP-F) Program. Melancon is a graduate of Charity Hospital School of Nursing and the University of New Orleans. She has successfully transferred many years of clinical experience into a successful career in Medicare Secondary Payer Compliance.


Kimberly Wiswell, CMSP-F
Senior Product Manager, Workers' Compensation, GradientAI

Kim Wiswell has been engaged in the workers’ compensation managed care and occupational health services industries since the late 1970’s, with a focus on Medicare Secondary Payer compliance since 2005. She currently serves as the Senior Product Manager overseeing the design and development of AI/ML products for the Workers’ Compensation market, including Medicare Secondary Payer compliance offerings, for Gradient AI. Prior to this, she was responsible for development of the MSA application and operations for CLARA Analytics. She also served as Director of Operations for MEDVAL. Earlier in her career, she co-founded and served as Managing Director over CompPartners Medicare Set-Asides division. 

Wiswell began her work in MSP compliance as Sr. Vice President, Operations for Coventry HealthCare’s First Health Priority Services sub-division, overseeing the MSA operations. She has extensive knowledge and experience in the area of workers’ compensation managed care including Medicare set-asides, medical bill review, systems analysis and development, medical coding and reimbursement, and occupational health administration and consulting. She has provided consulting services to the CMS and a number of state agencies and associations. 

Wiswell is a frequent presenter at industry conferences, seminars and training sessions concerning Medicare Secondary Payer Compliance, medical cost management, and provider coding and reimbursement. A member of the MSP Network since 2005, she has served as a board member from 2013-2018 and past president of the organization in 2015.

Webinar Cost

Members: COMPLIMENTARY - Happy Membership Appreciation Week!
Non-Members: $83

Note: Credit card payments will be assessed a 3.5% convenience fee.

Continuing Education

This webinar has been submitted for approval for one (1) hour of CLCP/CCLCP, CMSP, CMSP-F, CWCP, CGCM, and MSCC continuing education credits.

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