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Product ID: 399127EAU
 
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The Relationship Between Social Security, Medicare, and Workers' Compensation Claims

OnDemand Webinar (87 minutes)

Learn how the interrelationship between SS disability benefits and workers' compensation makes settlement of WC cases more attractive for the injured worker.The parties to a WC case are now the worker, the employer/insurer and Medicare. You will learn how compliance with the Medicare Secondary Payer Act affects both Medicare beneficiaries and non-beneficiaries who are resolving the medical portion of a WC claim.The panel will answer the following questions: Which cases are reported to Medicare? What are the obligations of the parties to Medicare? Can the cumbersome process of Medicare approval be avoided? How can the parties reasonably consider Medicare's interest without overfunding the Medicare set-aside?

Authors

Aaron Frederickson, MSP Compliance Solutions, LLC
Charles S. Katz Jr., Esq., Charles S. Katz, Jr. and Associates, LLC

Agenda

The Benefit to the Injured Worker of Settling the Disability/Wage Loss Portion of the Claim

• The Effect on SS Disability Benefits When WC Benefits Are Resolved

• Language Needed in the Settlement Documents

• The Effect of SS Old Age Benefits on WC Benefits

The Consideration of Medicare's Interest in the Settlement of the Medical Portion of the Claim

• Where the Injured Worker Is a Medicare Beneficiary

- Act 111 Reporting

- Resolving Medicare's Lien for Medical Expenses It Has Paid

- Allocating for Future Medical Care

- The Medicare Approval Process and Alternatives to Its Use

• Where the Injured Worker Is Not a Medicare Beneficiary

- Allocating for Future Medical Care

- The Medicare Approval Process and Alternatives to Its Use

The Risks and Obligations of the Parties in Medicare Compliance

• Consequences of Noncompliance to the Injured Worker and Employer

• Avoiding Overfunding of Medicare Set-Asides: Reasonably Predicting the Cost of Future Care