MSCC Training, Certification, & Recertification Opportunities
Approved by the International Commission on Health Care Certification (ICHCC) 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 insurance claims adjusters, who have completed 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 (ICHCC), to be peer reviewed, and to adhere to a set of standards governing ethics and professional behaviors.
The MSA training program is designed to provide the core essential knowledge components necessary for practice in the area of Medicare Set Aside Arrangements. Completion of all modules and the practicum exam will provide the 30 hours (maximum) of training specific to Medicare Set Aside Arrangements required to meet the training requirement set forth by the ICHCC to sit for MSCC certification. Please visit the ICHCC web site at www.chcc1.org for additional requirements. Upon completion of the practicum, please contact the ICHCC for submission instructions (804-378-7273).
MSCC Pre-Certification Training & Recertification Modules
MSCC Training Program - the Entire Package - $650 for members - $750.00 for non-members. Each Module represents a total of (3) Contact Hours. Maximum 30. The modules are also available individually for Recertification.
MSCC Training Program - The Entire Package - $650 for members - $750.00 for non-members
(NOT available as individual modules)
The MSCC 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 ICHCC to sit for MSCC certification.
The ICHCC requires a peer review of a sample MSA before the MSCC Exam can be taken. Please contact ICHCC directly to coordinate the peer review request along with any filing fee’s to take the MSCC Exam.
Practicum Exam* - MSCC Training Program Full Package Only
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 with answers.
*The Practicum Exam is a self-study practice test that is designed to see how well you retain and comprehend the training material. The answers are supplied to help verify your progress. The self-study practice test does not need to be submitted as part of the MSCC training process and is intended as a helpful resource for personal use.
Recertification - $65 for members - $75.00 for non-members (Cost is per individual Module)
The Medicare Set-Aside Certified Consultant professional must have his or her MSCC credential renewed every 3 years. The requirement to recertify the MSCC credential is 15 CEU's. Within the 15 required CEU's, at least 5 must be MSA-related and be pre-approved by ICHCC and at least 5 hours must be applied to ethics and preapproved by the ICHCC, as well. The remaining CEU's can be of course topics that are applied to ones area of expertise. The 5 hours delegated to ones area of expertise do not have to be pre-approved by ICHCC, as these CEU's are in a field not managed by ICHCC.
For those whose certifications expired before January 31, 2009, please contact the ICHCC office for details about your specific recertification.
Overview of Workers Compensation - Presenter: Jill Schroeder
- What is Workers' Compensation
- What are the benefits
- How is Medicare impacted
Overview of Medicare Compliance - Presenters: Rob Lewis & Mark Popolizio
- 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)
CMS Policy Memos - Presenters: Rob Lewis & Mark Popolizio
- Memos and Detail of CMS Policy/Procedure
The Players in the MSA - Presenter: Jill Schroeder
- 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
Structured Settlements - Presenter: Doug Brand
- 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
Development of the MSA Allocation Cost Projection - Presenter: Fran Provenzano & Leslie Schumacher
- Trends in WC Review Center Recommendations
- Determining Medicare Allowable Care
- 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
Methods of Projecting and Calculating RX Drugs - Presenter: Fran Provenzano
Medicare Conditional Payments - Presenter: Mark Popolizio
MSP Compliance in Disputed Cases - Presenter: Mark Popolizio
Administration (& Custodial Accounts) - Presenter: Patty Meifert
- The role of a Professional Administrator
- Professional Administration vs. Self-Administration
- CMS Perspective
- Post Administration payment of medical benefits - Fee Schedule, Usual and Customary, Etc.
Putting it all together – CMS Sample MSA Allocation Proposal - Presenters: Doug Brand, Rob Lewis,
Patty Meifert, Mark Popolizio, Fran Provenzano and Leslie Schumacher
- Role Playing & Mock MSA Case Study