NCSI holds the third in the Webinar Series on November 3, 2020 9:30 to 11:30am PST
Tuesday, October 13, 2020 | 98 | 0
In our third session, we will have Ben Basista, Esq. of Dickie McCamey and Mitchell Vice President Michele Hibbert-Iacobacci discussing issues with Medicare and billing issues in workers' compensation. Building on the positive feedback and questions from our membership about the article from December that Ben shared, his presentation will provide a further peek behind the curtain of the MSP industry. The presentation will delve deeply into the MSP Compliance industry and the practical and legal considerations and impacts that Medicare Compliance vendors can have on a company and a claim.
The Centers for Medicare and Medicaid Services (CMS) reports that there is an 8.1% error rate in medical billing, resulting in $230 billion in losses over the past six years. Though these statistics relate to Medicare specifically, they are telling and provide clues on the potential rate of billing mistakes in workers' compensation claims. In this session, Mitchell Vice President Michele Hibbert-Iacobacci will explain some of the common reasons that preventable billing errors occur and share examples of potentially fraudulent coding. Attendees will learn methods that claims organizations can use to catch billing mistakes to avoid paying for mistakes.
In part 2 of this webinar, Jake Reason of EK Health and Saul Alweiss, Esq. of the Law Offices of Allweiss and McMurtry will take the audience through Managing a Successful MSA Non-Submission Program.
Take-aways that participants can look forward to are (1) what factors need to be considered before establishing a non-submit program (legal, jurisdictional, types of claims, risk-tolerance, etc.); (2) identification of key internal/claims management practices for creating a non-submit MSA program (current Utilization Review program, incorporation of evidenced based medicine guidelines, methodology for pricing of medications); (3) working with an MSA vendor who understands your program and can customize MSA process accordingly; (4) how to incorporate the usage of Professional Administration into the settlement process; and (5) how to measure the effectiveness of the program.
Both of these sessions are sure to provide insights and strategies that you can immediately implement into your own programs.
And remember…there will be gift card give away’s at each webinar. And you will definitely want to participate in the virtual social hour with our New York mixologist on December 4th. You can only attend that event if you have participated in one of the NCSI webinar sessions…and our Social Hour is free!!
Registration is open - click here