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Credits

Sponsored by Lorman Education
Product ID: 408673EAU
 
Credit & Course Provided by:

The Relationship Between Social Security, Medicare, and Workers' Compensation Claims

OnDemand Webinar (88 minutes)

Learn how the interrelationship between Social Security disability benefits and workers' compensation makes settlement of workers' compensation cases more attractive for the injured worker.The parties to a workers' compensation 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 workers' compensation claim. Our speakers 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? and how can the parties reasonably consider Medicare's interest without overfunding the Medicare set-aside?

Authors

Aaron Frederickson, MSP Compliance Solutions, LLC

Agenda

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

• The Effect on Social Security Disability Benefits When Workers' Compensation Benefits Are Resolved

• Language Needed in the Settlement Documents

• The Effect of Social Security Old Age Benefits on Workers' Compensation 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