Medicare Triple Whammy: CRC Recovery, Treasury Claims, and Medicare Advantage Liens

Overview
Speaker(s)

Self-insurers are currently facing a Medicare triple threat involving recovery claims. Under CMS's Commercial Payment Center (CRC) recovery policy, Medicare is pursuing conditional payment recovery against insurers before claim settlement in certain cases. From another angle, the U.S. Treasury Department has ramped up its recovery efforts, including the dreaded Treasury offset program. Lastly, Medicare Advantage Plans (MAPs) are aggressively pursuing insurers for reimbursement, including several Ohio cases where the courts have allowed MAPs to sue lawsuits for "double damages." This session examines claims strategies to meet this triple-headed threat to help you stay compliant and minimize risk.

Mark Popolizio

VP of MSP Compliance and Policy for ISO Claims Partners

Verisk

Mark Popolizio is the Vice President of MSP Compliance and Policy for ISO Claims Partners. He is a nationally recognized authority in Medicare Secondary Payer (MSP) compliance.

Mark practiced insurance defense litigation for ten years concentrating in the areas of workers' compensation and general liability. Since 2006, Mark has dedicated his practice exclusively to MSP compliance working with carriers, self-insureds, TPAs, and other claims professionals in addressing MSP compliance issues.

Mark is a regularly featured presenter on MSP issues at national seminars and other industry events - and has authored numerous national articles addressing several topics related to MSP matters, including a chapter in the California Bar CLE publication, Special Needs Trusts: Planning, Drafting, and Administration. Mark is also active with other industry groups, including MARC, DRI, and NAMSAP.

Mark graduated Summa Cum Laude from Quinnipiac University in Hamden, Connecticut with a Bachelor of Science degree in Legal Studies and Sociology. He relocated to South Florida in 1992 to attend law school at Nova Southeastern University School of Law in Ft. Lauderdale, Florida. While at law school, Mark served as a Judicial Clerk to the late Honorable John D. Wessel (15th Judicial Circuit, Palm Beach County, Florida) and was a research assistant for Professor Leslie Larkin Cooney. Mark graduated from Nova in 1995 and is licensed to practice law in Florida and Connecticut.