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Simple Cost Savings with a Structured MSA Premier Webinar

Posted on December 27, 2018 by Tower MSA Partners

Wednesday, January 23, 2018 at 2:00 PM ET

One of the simplest ways to lower the cost of settlement is through a structured Medicare Set-Aside. Not only does this reduce the employer or insurer’s cost of funding the MSA, it also provides the injured worker a consistent stream of funds for injury-related medical care over his or her life expectancy. This hour-long webinar will show how structured MSAs help all the stakeholders involved in a settlement – the injured party, Medicare and the insurance carrier or employer.

On January 23rd Tower is pleased to host Kerri Poe of Atlas Settlement Group for an informative presentation on structured MSAs as part of settlement. This webinar is intended for anyone involved in the management or handling of workers’ compensation or liability claims and for plaintiff and defense attorneys. By attending this free webinar, you can expect to come away with the ability to:

 

  • Understand how structured MSAs work and recognize the benefits they provide to the injured worker/claimant, employer/insurer and Medicare
  • Explain the methodology by which CMS calculates a structured MSA
  • Convert a CMS-approved lump sum MSA to a structured MSA
  • Define the role of a structured settlement broker pre-settlement, during settlement negotiations and post-settlement.

Case Studies will be included, and attendees will have an opportunity to ask questions.

Hope to see you on January 23rd!

Dan Anders

Chief Compliance Officer

 

 

Background on Guest Presenter, Kerri Poe, CSSC:

Kerri Poe is head of Atlas Settlement Group’s Los Angeles office. Her experience spans Workers’ Compensation, Longshore and Harbor Workers’ Compensation Act, liability, and employment litigation nationwide. Kerri brings value to both sides of the negotiation by facilitating settlement and working as an advocate to the settlement process.

As part of the settlement team, Kerri assists with case evaluation, prepares settlement proposals, attends conferences and mediations and reviews legal documents to ensure the tax benefits of the structured settlement are preserved. Her extensive experience with Medicare Set-Asides and the integration of public benefits allow her to provide needs-based financial options for the injured party.

Her specialties include assisting with case evaluation, preparing settlement proposals, and attending settlement conferences and mediations. Kerri also performs file reviews and client trainings and has been a guest speaker at several claims associations, risk management groups, and settlement annuity seminars. In addition to being a member of the National Structured Settlement Trade Association, she is the Chairwoman of its Legislative Committee.

Kerri began her structured settlement career in 1997 as a Case Manager for a national structured settlement firm in Tampa, Florida and Houston, Texas. She also has experience as a Business Analyst and Project Manager for a prominent benefits administration firm and as the Regional Operations Manager for a large fund-raising company.

Optimize your MSAs for 2019

Posted on December 17, 2018 by Tower MSA Partners

As 2018 comes to a close, it’s a good time to evaluate the effectiveness of your MSA program and make improvements. But, where to start? Step one is to measure the current program’s performance and Michael Stack’s thoughtful recent post, 12 Questions and Metrics to Assess Work Comp MSA Cost Drivers, cites the metrics needed. Take some time to get a handle on your program, identify any unmet cost drivers and update your processes so that your MSAs comply with state and federal statutes, are adequately allocated, and that you do not pay any unnecessary costs.

Tower MSA Partners can help you define, measure and manage the metrics that yield the best balance of care, cost and compliance to continuously improve your MSA outcomes. For more on our data-driven philosophy, see Tower CEO Rita Wilson’s article, What Gets Measured Gets Managed . . . What’s Your Number?

For questions, or to learn more about Tower’s MSP compliance solutions, please email us at info@towermsa.com or call us directly at 888.331.4941.

Connect with Tower at NWCDC 2018

Posted on December 4, 2018 by Tower MSA Partners

Our numbers speak for themselves. Challenging conventional methodologies, we pursue the best path to settlement with innovative solutions, like MSA Optimization, Simplified Medicare Conditional Payment Resolution, and Legacy Claim Settlement Initiatives.

Do you know your numbers?

What is the percentage of your CMS-approved MSAs which include prescription medication?

How often are opioids included in your MSAs?

What percentage of counter-higher MSAs are submitted for a re-review to CMS and how successful are those re-reviews?

What is the success rate for appealing Medicare conditional payment demands?

Without such benchmark analytics, it is difficult to measure the cost-effectiveness of your MSP compliance program and ways to better optimize your program.  Tower constantly defines, measures and manages the metrics that yield the best balance in care, cost, and compliance.

We have a variety of interventions that will optimize your claims outcomes — many at no additional charge. If the numbers above don’t convince you, then perhaps you need another number that will — 5420.

Visit us at Booth 5420 to learn more about what Tower MSA Partners can do for you. 

CMS to Keep $750 Recovery Threshold & Announces Upcoming Webinar on MSPRP Enhancement

Posted on November 29, 2018 by Daniel Anders

$750 Threshold on Reporting and Conditional Payment Recovery Maintained

In a 11/15/2018 Alert, CMS announced that the 2019 recovery threshold for liability, no-fault and workers’ compensation settlements will remain at $750. Accordingly, Total Payment Obligations to the Claimant, TPOCs, in the amount of $750 or less are not required to be reported to CMS through the Section 111 Mandatory Reporting process, nor will CMS attempt to recover conditional payments for TPOCs of this amount.

By way of background, pursuant to the SMART Act of 2012, CMS is required to annually determine a threshold amount such that the cost of collection does not outstrip the amount recovered through such collection efforts. CMS’s calculations, which can be found here, resulted in the $750 threshold being maintained.

Upcoming Webinar on MSPRP Self-Reporting Enhancement

CMS also recently announced it will hold a webinar on 12/18/2018 at 1 p.m. ET to provide an overview of the self-reporting functionality that will be added to the Medicare Secondary Payer Recovery Portal (MSPRP) as of 1/7/2019. The webinar invite can be found here.

Self-reporting refers to reporting a no-fault, workers’ compensation or liability claim to CMS’s Benefits Coordination and Recovery Center (BCRC) which is typically the first step in identifying whether conditional payments have been made by Medicare in the claim. Presently, reporting can be done via phone, fax, mail or through the Section 111 mandatory insurer reporting process.

The so-called “lead” which results from this reporting is utilized by CMS’s recovery contractors, the BCRC or the Commercial Repayment Center (CRC) to investigate payments made by Medicare for the reported diagnosis and seek recovery for conditional payments made for the diagnosis. It is anticipated the expansion of self-reporting to the MSPRP will assist in expediting the Medicare conditional payment investigation process and perhaps improve the accuracy of charges identified as conditional payments.

Practical Implications

As CMS is keeping the $750 threshold for mandatory reporting and conditional payment recovery there are no changes to the reporting processes or determinations as to when conditional payment should be investigated or resolved.

In regard to the self-reporting enhancement to the MSPRP, as noted above, we believe this may improve the speed and accuracy of the Medicare conditional payment process. We will provide further information following the December 18 webinar.

Connect with Tower at NWCDC 2018

Posted on November 27, 2018 by Daniel Anders

Our numbers speak for themselves. Challenging conventional methodologies, we pursue the best path to settlement with innovative solutions, like MSA Optimization, Simplified Medicare Conditional Payment Resolution, and Legacy Claim Settlement Initiatives.

Do you know your numbers?

What is the percentage of your CMS-approved MSAs which include prescription medication?

How often are opioids included in your MSAs?

What percentage of counter-higher MSAs are submitted for a re-review to CMS and how successful are those re-reviews?

What is the success rate for appealing Medicare conditional payment demands?

Without such benchmark analytics, it is difficult to measure the cost-effectiveness of your MSP compliance program and ways to better optimize your program.  Tower constantly defines, measures and manages the metrics that yield the best balance in care, cost, and compliance.

We have a variety of interventions that will optimize your claims outcomes — many at no additional charge. If the numbers above don’t convince you, then perhaps you need another number that will — 5420.

Visit us at Booth 5420 to learn more about what Tower MSA Partners can do for you. 

 

Tower Opinions Sought

Posted on November 5, 2018 by Tower MSA Partners

Tower’s expertise on MSP compliance and MSAs was reinforced by some good coverage last week.  Ametros sought the insight of our CEO Rita Wilson for its blog post “About the Evolution of Professional Administration,” which can be found here.  And, WorkCompCentral’s Elaine Goodman interviewed Chief Compliance Officer Dan Anders for her 10/31/2018 story, “CMS Shift on Lyrica Causing MSA Cost Concerns” available by subscription here.

Two Tower Experts to Speak at NAMSAP Conference

Posted on October 1, 2018 by Tower MSA Partners

Two of Tower’s MSP subject matter experts, Dan Anders and Rita Wilson, have been asked to speak at the upcoming National Alliance of Medicare Set Aside Professionals (NAMSAP) Annual Educational Conference. Dan will highlight trends in MSA reviews in a lively Q&A panel discussion on the new Workers’ Compensation Review Contractor, and Rita will be in her element –digging into data– when her panel compares NCCI MSA research findings with those of NAMSAP’s Data & Development Committee.   The conference will be held October 3-5 in Baltimore, Maryland.

Please see the following new release for more information:

https://www.businesswire.com/news/home/20180927005765/en/Tower-MSA-Partners-Dan-Anders-Rita-Wilson

TOWER PUBLISHES WHITE PAPER THAT EXPLORES LIABILITY MSAS

Posted on September 26, 2018 by Tower MSA Partners

“Lawyers are concerned that CMS may seek reimbursement from attorneys, injured parties and even insurers—or simply deny payment for injury-related medical care,” said Dan Anders, Tower’s Chief Compliance Officer. “Navigating through the Fog: Medicare, Future Medicals & Liability Settlements” recaps CMS’s process to date and provides advice to settling parties who are currently handling liability settlements. See more:

Tower MSA Partners Publishes White Paper to Guide Settling Parties on Medicare and Future Medical Considerations

Tower’s New White Paper Featured in WorkCompCentral.com Article

Posted on September 17, 2018 by Tower MSA Partners

What is the story on Liability MSAs? Tower’s Dan Anders gives some background and offers ways to prepare liability claims until CMS provides more direction in a new white paper, publicized in this WorkCompCentral.com article.

Download the white paper from here.

WorkCompCentral, Tower MSA Partners & Ametros Invite You to a Webinar on Optimizing MSAs: Before & After Settlement

Posted on September 4, 2018 by Daniel Anders

The trusted source for the latest news in workers’ compensation, WorkCompCentral.com, hosts the leading innovators in Medicare Set-Aside development and administration, Tower MSA Partners and Ametros, in an upcoming webinar on the topic of Optimizing MSAs: Before & After Settlement. This free one-hour webinar will be presented by Tower Chief Compliance Officer Dan Anders, Ametros CEO Marques Tolbert, and will be held on Thursday, October 18, 2018 at 2 PM EDT.

Overview:

Settling work comp claims calls for a tricky balance. Payers want to limit the amount of money that is allocated to a Medicare Set-Aside and injured workers worry about running out of money for their work-injury related medical bills. How do you balance these competing interests? This webinar shows how pairing an intervention-driven MSA partner with a supportive professional administrator can produce a fair and reasonable MSA allocation and still protect and extend those allocation dollars over an injured worker’s life expectancy.

Attendees Will Learn How:

  • To balance the interests of payers and injured workers when settling claims.
  • An accurate drafting of the MSA provides its own cost savings.
  • To identify MSA cost drivers and how to apply clinical interventions to reduce them.
  • The right professional administrator can reduce the costs of medical and pharmacy care for the injured worker after settlement.
  • Professional administration can support an injured worker after settlement and protect and extend the life of the settlement

These lessons will help you drive claims to settlement and reduce those settlement costs while ensuring the injured worker has sufficient funds for future medical care. Don’t miss this opportunity to learn from these MSA experts!

Registration can be completed by following this link to the WorkCompCentral website or calling (866) 975-2667.

Thank you!

For Media Inquires, Contact:

Helen King Patterson
813.690.4787
helen@kingknight.com

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