Demystify Medicare Secondary Payer (MSP) Maze: Comply with CMS Compliance Requirements

Course Description:

Are you unsure when Medicare becomes the secondary payer for a beneficiary's medical bills? This webinar is designed to provide a comprehensive understanding of Medicare Secondary Payer (MSP) for anyone who interacts with the healthcare system, including healthcare providers: hospitals, clinics, and individual practitioners who need to know when to bill Medicare as secondary.

Insurance companies: Group health plan administrators and private insurers who may be primary payers in MSP situations
Employers: Human resource professionals and benefits administrators responsible for understanding MSP implications for employee health plans
Attorneys: Legal professionals handling workers compensation claims or personal injury settlements that involve Medicare beneficiaries

By attending this webinar, you'll gain valuable insights that can significantly benefit you in your role:

Improved Efficiency and Accuracy: A clear understanding of MSP helps avoid unnecessary billing delays and ensures proper claims processing
Reduced Risk of Errors and Penalties: Knowing your responsibilities under MSP regulations minimizes the chances of non-compliance and potential penalties
Enhanced Patient Care: By correctly navigating MSP, you can ensure that Medicare beneficiaries receive timely and appropriate medical care

Don't miss this opportunity to understand Medicare Secondary Payer and confidently navigate the complexities comprehensively!

Learning Objectives:

Defining Medicare as a Secondary Payer and exploring situations in which Medicare is not the primary payer for a beneficiary's medical bills
Understand the different types of primary payers in MSP scenarios, such as workers compensation programs, liability insurance from auto accidents, or employer group health plans
Investigate the crucial reporting obligations for healthcare providers and primary payers under MSP regulations
Understanding conditional payment processes and how to navigate them effectively
Practical examples to illustrate how MSP applies in different situations. This will help you solidify your understanding of MSP principles and their application in everyday scenarios
Explore best practices for staying up-to-date on evolving MSP regulations and maintaining compliance. We'll discuss resources available to help you navigate the changing landscape
Clear understanding of MSP helps avoid unnecessary billing delays and ensures proper claims processing
Knowing your responsibilities under MSP regulations minimizes the chances of non-compliance and potential penalties
Correctly navigating MSP, you can ensure that Medicare beneficiaries receive timely and appropriate medical care

Areas Covered in the Session:

The Fundamentals of MSP
Identifying Primary Payers
Key MSP Requirements
Real-World Examples
Staying Compliant
Improved Efficiency and Accuracy
Reduced Risk of Errors and Penalties
Enhanced Patient Care
Live Q&A Session

Suggested Attendees:

Healthcare Provider
Medical Coder
Billing Specialist
Auditor
Nurse and Nurse Practitioner
Primary Care Physicians
Medical Officers
Practice Managers
Health Information Management Manager and Staff
Clinical Documentation Improvement (CDI) Specialist
Administrative Staff
Legal Staff and Officers
Clinical Socials
Registered Dietitian
Hospitals
Physician-Based Practices
Human Resource Professionals and Benefits Administrators Responsible for Understanding MSP

About the Presenter:

Keisha Wilson, CCS, CPC, CPCO, CPMA, CRC, CPB, AAPC Approved Instructor, the founder/ CEO of KW Advanced Consulting, is a seasoned professional with over 20+ years of experience in the healthcare field. Her career in large teaching hospitals and acute ambulatory care systems includes roles such as an outpatient coding specialist, clinical documentation improvement (CDI) specialist, compliance operations coding and billing manager, interim compliance director, and consultant to various coding companies. Her extensive experience is a testament to her leadership and deep understanding of the industry.

Keisha is not just a subject matter expert in Compliance and Revenue Cycle Management but also a dedicated educator and trainer. She excels in Risk-Based Audits, Retrospective, Prospective, Evaluation and Management audits, and auditing and coding of multi-speciality, documentation, and coding Telehealth/ Telemedicine services, Risk Adjustment/ HCC provider and coder education/ training and webinars. Keisha has developed and implemented numerous compliance documentation and coding training programs for organizations of all sizes. She is an approved instructor for KW Advanced Consulting and an adjunct instructor for the American Academy for Professional Coders (AAPC), teaching a wide range of compliance and coding courses.

Keisha's dedication to sharing her expertise extends beyond her professional roles. She serves on the Board of Directors for an outpatient mental health clinic and actively participates in various telehealth and compliance committees. As a published author, she regularly contributes coding articles for KW Advanced Consulting, keeping the industry updated with the latest developments. Her collaboration with the AAPC editors on various Primary Care Coding Alerts and AAPC Magazine (formerly Healthcare Business Monthly) is a testament to her commitment to advancing the field.

Additional Information:

After Registration: You will receive an email with login information and handouts (presentation slides) that you can print and share with all participants at your location.

System Requirement:

Internet Speed: Preferably above 1 MBPS
Headset: Any decent headset and microphone which can be used to talk and hear clearly

Can’t Listen Live?

No problem. You can get access to an On-Demand webinar. Use it as a training tool at your convenience. For more information, you can reach out to the below contact:
Toll-Free No: 1-302-444-0162
Email: care@skillacquire.com

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