FREE WEBINAR!

Medicare Advantage and Workers’ Compensation: What Payers, Claimant Attorneys, and Plans Need to Know

This webinar will cover Medicare and Workers’ comp basics: 

• MSP statute and key MSP regs:  411.22, 411.40 through 411.47
• Obligations for beneficiaries: Pursue claims, exhaust coverage, repay conditional payments
• Obligations for payers: Report claims/settlements, ensure repayment, protect Medicare from paying

It will also provide an introduction to WCMSAs. 

The webinar will then review the obligations for Party C and D plans:

• MSP enforcement obligations: 42 CFR 422.108 & plans’ contracts with CMS
• Additional MAPD/Part D obligations
• Plans and WCMSAs

The webinar will also cover gaps, unknowns, and then open it up for questions from participants. 

Presenters

Brian Bargender
Internal Consultant
Humana

Brian Bargender is an internal consultant with Humana, one of the country’s largest Medicare Advantage organizations. He possesses over 20 years of experience in health benefit subrogation and Medicare Secondary Payer (MSP) enforcement operations, including case file management, advisory, and leadership roles.

His current responsibilities encompass researching trends and legal developments that influence coordination of benefits and payment recovery for group health, Medicare Advantage, and Medicaid managed care plans. Additionally, he develops new cost avoidance and payment recovery projects, advises health plan leaders, and collaborates with Humana’s Law Department on Medicare Secondary Payer enforcement strategies. He is frequently invited to conduct presentations on MSP and health subrogation issues for audiences that include health plans, injury insurance carriers, and plaintiff attorneys.

Brian holds a Master of Science degree in Legal Studies and Applied Legal Research from Purdue University and has received a Certified Subrogation Recovery Professional (CSRP) designation from the National Association of Subrogation Professionals (NASP). He previously served as co-chair of NASP’s Wisconsin chapter and as a leader for the Health Subrogation education track at NASP’s annual conference. Currently, Brian serves as vice president of the Subrogation Health Alliance (SHA) and co-chairs a Medicare Secondary Payer and Workers’ Compensation Medicare Set Aside task group for the National Coalition for Prescription Drug Plans (NCPDP).

Ciara Koba, Esq.
Principal
Allan Koba Compliance Solutions

Ciara Koba, Principal of Allan Koba, merges her expertise in law and medicine with her technological proficiency and nearly ten years of hands-on experience to provide holistic solutions to her clients. Renowned for her knowledge in Medicare Mandatory Insurer Reporting and auditing, Ciara is a licensed attorney and former registered nurse with extensive experience in general and surgical nursing. Her deep understanding of the healthcare sector allows her to effectively resolve complex Medicare-related matters.

Webinar Cost

Members: $0
Non-Members: $0
 

Continuing Education

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

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