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Building on attendees' existing knowledge of CMS’s enforcement processes for MSP involving NGHP payers, this webinar explains the growing role of Medicare Advantage (Part C) and Medicare Prescription Drug (Part D) plans in MSP enforcement.  The webinar will discuss mandates and authority defined by CMS and Medicare statutes, plans’ current enforcement practices, and recent developments that NGHPs, beneficiaries attorneys, and other MSP professionals should consider.  Additional discussion will address PAID Act best practices and recent CMS directives to plans regarding for Workers' Compensation Medicare Set-Asides (WCMSAs).  Participants can strengthen the knowledge they need to avoid conditional payment resolution surprises, protect beneficiaries’ access to benefits, reduce settlement delays, and achieve more effective MSP compliance.

Presenter

Brian Bargender, MSLS,CSRP
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).

Webinar Cost

Free to Members
Non-Members: $83
 

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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