Settlement Strategies and Medicare Secondary Payer Compliance: How to Expedite Claim Resolution and Control Claim Costs
Is submission to CMS of every MSA required? What are the Pros and Cons of Submission and Non-Submission? This webinar will answer those questions and more. Learn about Evidenced Based Methodology vs CMS methodology and the best practice of reviewing claims for Medicare Exposure well in advance of positioning the claim for settlement. Attendees will discover what the Red Flags to look for are to mitigate a potential large MSA, and what to do proactively to avoid a negative outcome.
VP of Compliance and Customer Relations
Ms. Smith received her undergraduate Political Science Degree from Gannon University and received her Master of Arts and Juris Doctorate degrees from Duquesne University. She thereafter served as a judicial clerk for the Hon. Dante Pellegrini, President Judge of the Commonwealth Court of Pennsylvania. Ms. Smith went on to practice as a shareholder at a top Pittsburgh law firm serving as Vice-Chair of the Medicare Compliance Group. She concentrated her practice in the area of Medicare compliance as well as workers compensation litigation, medical malpractice, and general insurance defense. Ms. Smith also served as a Medicare compliance attorney and shareholder for a national defense firm and worked as in-house counsel for a leading Pittsburgh health facility. Ms. Smith was selected for inclusion in the Pennsylvania Rising Stars list of outstanding young attorneys in 2008 and has been listed in Best Lawyers since 2011 in the area of workers compensation. Ms. Smith is involved in various charitable organizations and serves as a volunteer faculty advisor for a local high school trial advocacy team. Ms. Smith is licensed to practice law in Pennsylvania and West Virginia. In her role as VP of Compliance and Customer Relations, Ms. Smith utilizes her extensive compliance, litigation, and workers compensation experience to provide customers guidance on Medicare Secondary Payer (MSP) issues . She has lectured throughout the country on MSP compliance and has written numerous articles on various subjects.
Jennifer Shymanski, J.D., CMSP-F
Vice President of Implementation and Strategy
Jennifer has been with the NuQuest (and formerly Protocols) since 2010. Prior to joining Protocols, she spent over ten years at a large national insurer working with both workers compensation and liability claims teams. Her focus is on assisting clients in designing and then implementing their Medicare Secondary Payer Compliance programs. Jennifer develops the training content and creates the education programs at NuQuest. And, as part of the NuQuest Settlement Consultant Team, Jennifer uses her extensive claims and MSP experience to assist clients in reaching optimal outcomes for their claims resolution.
Jennifer holds a law degree from Northern Illinois University College of Law and a Bachelor of Arts in Political Science from the University of Wisconsin – Stevens Point. She is admitted to practice law in the State of Wisconsin. Jennifer is also an instructor for the Certified Medicare Secondary Payer (CMSP) and CMSP-Fellow designations. She is an Advisory Board member of the National Alliance of Medicare Set-Aside Professionals (NAMSAP) and is a co-chair of their Webinar Committee. Jennifer is also an adjunct instructor of Business Law at Northcentral Technical College in Wausau, Wisconsin.