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2016 Annual Meeting Agenda
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2016 Annual Meeting
September 14 - 16, 2016
San Antonio Marriott Riverwalk
San Antonio, TX 

 

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 Agenda

 

Tuesday, September 13, 2016
6:00 - 7:30 PM Exhibitor Reception    
       
Wednesday, September 14, 2016  
MSP Crash Course 
9:00 - 10:00 AM  MSP 101:  The Statute, the Regs and the Application
An overview of the Medicare Secondary Payer (MSP) laws, rules and how they impact your day-to-day practice.
Dan Anders,
JD, MSCC
ExamWorks Clinical Solutions
      Leslie Schumacher,
RN, CRRN, CCM, LNCC, CLCP, CNLCP, MSCC, CMSP
PlanPoint, LLC
10:00 - 11:00 AM Anatomy of the WCMSA Reference Guide
Dissecting the most frequently used parts from the body of this authority.
Jake Reason,
EK Health Services


 Kathleen Wyeth,
 JD, MSCC, CMSP
 Workers  Compensation,  Michigan Bar
11:00 - 12:00 PM WWCMSD:  What Would CMS Do? 
Metrics on CMS outcomes and helpful insights on possible trending that may influence Medicare Set-Asides.
Barbara Fairchild, RN,CLCP, MSCC
NuQuest
     

Erin O'Neill,
MPA, PA-C, JD
MEDVAL

12:00 - 1:00 PM Pre-Conference Sessions Adjourn
 Attendees on own for lunch
 
       
Wednesday, September 14, 2016
 1:00 - 1:05 PM Conference Welcome  
 1:05 - 1:15 PM President’s Message  
1:15 - 2:30 PM @#Allocating.com - The Online World of Allocating
An orientation of MSP social media, online resources, and software.
 Bob Wilson
 Workers
 Compensation.com,
 LLC
   Mark Walls
 Safety National
2:30 - 3:00 PM Break with Exhibitors  

3:00 - 4:00 PM 




Divided We Stand – Medicare Advantage Organization Case Law
A jurisdictional round-up of preeminent cases across the nation and the varying  holdings affecting reimbursement rights of private entities. 
Ciara Koba,
Esq.
Burns White, LLC
      Heather Sanderson,
Esq., MSCC, CHPE, CLMP, CMSP
Franco Signor, LLC
      Hon. Lee Yeakel,
Judge,
US District Court
TX, Western District
4:00 - 5:00 PM Please Use Discretion – Civil Monetary Penalties 
An in-depth analysis of what might constitute a punishable offence, a minor infraction or safe harbor from Section 111 Medicare Mandatory Reporting penalties. 
Katie Fox,
MSCC, CMSP
Franco Signor, LLC
      Monika Boswein
AIS, AIC, AINS, CMSP
ACUITY
5:00 - 6:30 PM Welcome Reception
 6:30 PM Riverwalk Scavenger Hunt
       
Thursday, September 15, 2016
7:00 - 8:00 AM  Breakfast with Exhibitors    
8:00 - 9:00 AM The Current State of Conditional Payment Recovery
A detailed overview of the current state of conditional payment recovery with a breakdown of functions of the contractors, the process of recovery and the mechanics of processing and finalizing claims from both theoretical and practical perspectives.
 Shawn Deane,
 JD, MEd, MSCC,  CMSP
 ISO Claims Partner
    Michele Carey,  Esq.,
Ruegsegger Simons     Smith & Stern, LLC
     William A.  Delaney,
 JD, MSCC
 Nyhan, Bambrick,  Kinzie & Lowry
9:00 - 10:00 AM Primary Payer Appeals   
How primary payers can navigate recent rulemaking to pursue conditional payment appeals, and to which cases this process is best applied.
Deborah Robinson Stewart,
 JD
Genex Services, LLC
      Kim Young,
JD
Burns White, LLC
      Melissa Woitalewicz
Crete Carrier Corporation
10:00 - 11:00 AM Break with Exhibitors  
10:30 - 11:30 AM Adventures in Allocating 
Exploring alternative pricing methodologies as well as strategies to think “outside the box” on a case-by-case basis.
Beth Hostetler,
RN, BSN, CCM, MSCC
Safeway
      Christine Melancon,
RN, CCM, MSCC, CMSP, CNLCP
EZ-MSA Services
       Jake Reason,
 EK Health Services
11:30  - 12:30 PM Networking Lunch  
12:30 - 1:30 PM CMS Trends on Liability Medicare Set-Aside Arrangements
An overview on how CMS has handled LMSAs historically and to date, both regional review and non-reveiw.  This session will include discussion on what the current trends are, what issues exist and how they can be addressed.
 David R. Cherry,
 Esq.
 Cherry Injury Hill
       Roy A. Franco, 
 Esq.
 Franco Signor, LLC
       Thomas F. Spratt, 
  CMSP
  NuQuest
1:30 - 2:30 PM Submission vs. Non-submission (Opt-out)
A knock-out panel of industry  heavyweights weigh-in on this controversial subject. The audience will reveal the victor by decision. 
John V. Cattie, Jr,
JD, MBA
Garretson Resolution Group
      Jennifer Jordan,
JD, MSCC
MEDVAL, LLC
      Melinda R. Petit, CPCU
Chesapeake Employers Insurance Company
      Robert Sagrillo,
JD, LLM 
NuQuest
      Mark Sidney
Midwest Employers Casualty Co.
      Rita Wilson
Tower MSA Partners, LLC
      Mark Walls
Safety National
2:30 - 3:00 PM Break with Exhibitors  
3:00 - 4:00 PM Settlement Language – Covering all Bases
Crafting ironclad settlement language to ensure interests are considered and protected under the MSP.
Joy Brewer,
JD
Brewer Defense Group


James R. Raines,
JD
Breazeale, Sachse & Wilson, L.L.P.
 Vincent J. Quatrini,  Jr.,
 JD,
 Quatrini Rafferty, P.C.
4:00 - 5:00 PM State Law – Consequences and Outcomes
A look at how Medicare regards state-specific laws, including California's Independent Medical Review (IMR). 

Jeanmarie Calcagno,
Esq.
Bryce Downey & Lenkov LLC

      Rodney McColloch,
JD
Moore Ingram Johnson & Steele
       
Friday, September 16, 2016
7:15 - 8:00 AM Breakfast with Exhibitors  
8:00 - 9:00 AM WCMSA Re-Review Process 
Grounds for appealing unfavorable decisions and tips to succeed in making your case.

Carmen Folluo,
RN, BSN, CCM, MSCC
CorVel Corporation

      Shannon Metcalf,
JD, MSCC
 Hedrick Gardner Kincheloe & Garofalo
      Kimberly A. Wiswell,
CMSP
MEDVAL, LLC
9:30 - 10:45 AM An Rx for Prescription Drug Costs: Mitigating Costs While Providing Quality Care
Mitigating costs while providing quality care.
Amy Bilton
 JD, MSCC, CMSP  
 Nyhan, Bambrick,  Kinzie & Lowry
      Amy Lee
Texas Department of Insurance, Division of Workers' Compensation
      Mark Pew,
PRIUM
    Pamela Schweitzer
PharmD, BCACP
Rear Admiral (RADM), Assistant Surgeon General & Chief Pharmacist Officer United States Public Health Service (PHS)
10:45 – 12:00 PM What’s Affecting Stakeholders?
A discussion addressing MSP concerns and potential future advocacy efforts. 
John V. Cattie, Jr.,
JD, MBA
Garretson Resolution Group
      Doug Holmes,
JD
UWC-Strategic Services on Unemployment and Workers Compensation
      Greg McKenna,
JD, MS 
Gallagher Bassett Services, Inc.
      Gary Patureau,
CWCP, CMSP
Louisiana Association of Self-Insured Employers (LASIE)
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