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MSA Training Program
Approved by the Commission of Health Care Certification (CHCC) as Meeting the Educational Requirements Necessary to Sit for the Medicare Set-Aside Consultant-Certified (MSCC) Exam
The Medicare Set-Aside Consultant Certified (MSCC) credential is designed to identify those professionals who work within the Workers’ Compensation or Liability insurance benefit system as either health care professionals, legal representatives, or as an insurance claims adjusters, who have achieved specific pre-approved training in Medicare Set-Aside Arrangements, and have demonstrated a breadth of knowledge regarding the development and application of the Medicare Set-Aside Arrangement process. Additionally, this credential is designed to express to the consumer that the person holding the MSCC credential has agreed to come under the scrutiny of a certifying review board (CHCC), to be peer reviewed, and to adhere to a set of standards governing ethics and professional behaviors.
MSA Training Program - the Entire Package - $650 for members - $750.00 for non-members
The MSA training program is designed to provide the core essential knowledge components necessary for practice in the area of MSP Compliance. Completion of all modules, and the practicum exam will provide the 30 hours (maximum) of training specific to MSP compliance required to meet the training requirement set forth by the CHCC to sit for MSCC certification. Please visit the CHCC web site at www.chcc1.org for additional requirements. Upon completion of the practicum, please contact the ICHCC for submission instructions (804-378-7273).
Module 1
Overview of Workers Compensation
Module 2
Overview of Medicare Compliance
Module 3
CMS Policy Memos
Module 4
The Players in the MSA
Module 5
Structured Settlements
Module 6
Development of the MSA Allocation Cost Projection
Module 7
Methods of Projecting and Calculating RX Drugs
Module 8
Medicare Conditional Payments
Module 9
MSP Compliance in Disputed Cases
Module 10
Administration
Module 11
Putting it all together – CMS Sample MSA Allocation Proposal
Modules
Module 2
Overvue of Medicare Compliance
- Medicare Secondary Payer (MSP) Statutory Framework
- MSP Regulations and Amendments
- Future Medicare Payments vs. Past (conditional) Payments
- Potential Consequences of Non-Compliance (future vs. past)
Member Cost: $ 65
Non-Member Cost: $ 75
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Module 4
The Players in the MSA
- Role of the Attorney
- Role of the Allocator
- Role of the Carrier
- Role of the Structured Settlement Broker
- Medicare/Social Security Administration
- CMS RO
- CMS Central Office
- MSP Central
- WCRC-JV
- MSPRC
- COBC
Member Cost: $ 65
Non-Member Cost: $ 75
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Module 5
Structured Settlements
- MSA Funding - Lump Sum vs. Structure
- Role of the Structured Settlement Consultant
- Various Structure Vehicles
- Calculation of the Initial and Annual Payments for Structured MSA Arrangements
- Rated Age
- Life Expectancy
Member Cost: $ 65
Non-Member Cost: $ 75
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Module 6
Development of the MSA Alloctation Cost Projection
- Trends in WC Review Center Recommendations
- Determining Medicare Allowable Care
- Resources
- Diagnosis Codes
- CPT Coding
- WC Reimbursement Schedules
- CMS Calculation Requirements
- Submission of the MSA Arrangement to CMS for Approval
- Review of all Components of Submission report
- Supporting Documentation
Member Cost: $ 65
Non-Member Cost: $ 75
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Module 10
Administration
- The role of a Professional Administrator
- Professional Administration vs. Self-Administration
- Pitfalls
- CMS Perspective
- Post Administration payment of medical benefits - Fee Schedule, Usual and Customary, Etc.
Member Cost: $ 65
Non-Member Cost: $ 75
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Module 11
Putting it all together – CMS Sample MSA Allocation Proposal
- Role Playing & Mock MSA Case Study
Practicum Exam
The practicum exam is intended to focus the participant on the areas of the curriculum that are felt to represent core knowledge for practice in the field of Medicare Set-Aside consulting. The participant will be given multiple choice questions and will be able to research the answers independently.
Member Cost: $ 65
Non-Member Cost: $ 75
Click Here to Register
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Practicum Exam
The practicum exam is intended to focus the participant on the areas of the curriculum that are felt to represent core knowledge for practice in the field of Medicare Set-Aside consulting. The participant will be given multiple choice questions and will be able to research the answers independently
Printable Event Registration Form - If you wish to pay by check to attend any NAMSAP event, please use this form. You can mail the form with payment to NAMSAP, 341 N. Maitland Ave., Suite 130, Maitland, FL 32751 or fax to 407-629-2502 and indicate on the form that a check will follow.
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