Conditional Payment Solutions: Underutilized & Effective Approaches

Understand the Conditional Payment Processes
Learn how the Medicare Secondary Payer (MSP) conditional payment process works, including identification, notification, recovery rights, and common compliance pitfalls.

Identify Overlooked Resolution and Dispute Strategies
Understand lesser-known tools and strategies to reduce or eliminate conditional payment demands, including dispute options, waiver requests, compromise pathways, and negotiation best practices.

Understand the Interplay of Section 111 reporting and Conditional Payment Processes
Learn about how Section 111 reporting directly affects and drives the recovery process.

Panelists

Brian MacAllister
Sr. Medicare Unit Manager
Liberty Mutual 

During his twenty-two years with Liberty Mutual, Brian has held roles in both the Liability and Workers Compensation organizations, with expertise in complex high exposure claims. His roles have included Complex Technical Claims Specialist and Manager of a Critical Strategies Unit. For the last fourteen years, Brian has worked within the Medicare Compliance Department. Currently, Brian is responsible for the Conditional Payment program, provides settlement consultation, and develops training. Brian has a degree in Criminal Justice from Northeastern University, Associate in Claims (AIC), Medicare-Set- Aside Consultant Certified (MSCC), Certified Medicare Secondary Payer Professional Fellow (CMSP-F) and is a member of the Medicare Secondary Payer Network (MSPN).

Outside of work, Brian loves to travel with his wife Lisa, and daughter Olivia. Some of his favorite destinations include family vacations to Disney, and trips to California wine country. Brian loves the outdoors, and can often be found hiking, camping, and fly fishing throughout New England.

Kayla Pigeon
VP, MSP Compliance
Sanderson Firm 

Kayla, is an attorney and Medicare Secondary Payer (MSP) compliance expert who began her career in MSP in 2016, at a large insurance carrier. 

At Sanderson Firm, Kayla has used her vast knowledge of complex Conditional Payment handling, operational and analytical mindset to not only seamlessly oversee Sanderson Firm’s Recovery Department, but also to implement and innovate in the terrain of Medicare Advantage Plan Recovery. Additionally, Kayla’s leadership and passion has led to her spearheading the Client Success Department, which focuses on achieving the best results for our clients and our Intake Department, which handles all incoming referrals. 

Most recently Kayla was awarded the 2024 Rise Professionals 35 under 35 award and was selected for the Strategic Planning Board at RISE Professionals. She also serves as faculty for the Medicare Secondary Payer Accreditation (MSPA).

Webinar Cost

Members: Free
Non-Members: $83

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

MSPN members can participate in all webinars FREE OF CHARGE for the year. 

Note: You must be a current member and logged into your profile for the FREE OPTION to appropriately apply.

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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