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MSCC Training, Certification & Recertification
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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

 

Training Program Costs: 

NAMSAP members: $800 

Non-Members: $1,000.00

Click here to purchase the NAMSAP MSCC training course.

 

NAMSAP MSCC Training Checklist:

  1. Purchase and View NAMSAP MSCC Training Modules (Topics Provided Below)
  2. Submit sample MSA to info@namsap.org for review
  3. Complete ICHCC application with required documents (diploma, MSCC training certificate, CV, MSA work sample and MSCC test fee).  

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 see below or visit the ICHCC web site at www.ichcc.org for additional requirements. Upon completion of the practicum, please contact the ICHCC for submission instructions (804-378-7273).

 

Documents and Requirements:

Qualifications

ICHCC MSCC Application and Checklist

 

MSCC Pre-Certification Training & Recertification Modules:

 

Module 1: Overview of Medicare Compliance

Presenter: Mark Popolizio, Esq.

 

Module 2: CMS Policy Memo

Presenter: Thomas Spratt, MSCC

 

Module 3: The Players in the MSA

Presenter: Kimberly Wiswell, CMSP

  • Claimant / Applicant / Plaintiff
  • Insurer / Self-Insured Employer (Payer)
  • Attorneys
  • Rated Age Provider / Life Company
  • Medicare Set-Aside (MSA) Allocator
  • Structured Settlement Broker
  • Custodial Administration
  • Social Security Administration
  • CMS Central & Regional Offices
  • CMS Workers’ Compensation Review Contractor
  • CMS Recovery Contractors (BCRC and CRC)

 

Module 4: Structured Settlements & Rated Ages

Presenters: David Korch, JD, AIC, SCLA, CMSP, CMSS and 

                    Kevin Pucket, AALU, ACS

 

Module 5: Administration & Custodial Accounts

Presenter: Robert J Sagrillo, JD, LLM

 

Module 6: Medicare Conditional Payments 

Presenter: Shawn Deane, JD, MEd, MSCC, CMSP

This module will focus on Medicare conditional payments. It will provide an overview of conditional payments, with terms defined, a break down the applicable contractors (current as of the time the training was recorded), and will cover the conditional payment process, including:

  • Obtaining Information
  • Authorizations
  • Types of Correspondence
  • Anatomy of PSF/SOR
  • Disputes
  • Demands
  • Appeals Process

 

Module 7: Electronic Reporting

Presenter: Shawn Deane, JD, MEd, MSCC, CMSP

This module will focus on Sec. 111 Medicare Mandatory Insurer Reporting, covering the following:

  • Terminology
  • Query Process
  • Reporting
  1. Foundations
  2. Important Dates
  3. Thresholds, ORM
  4. Exclusions
  5. POC
  6. Penalties 

Module 7: Development of the MSA Allocation Cost Projection

Presenters: Fran Provenzano, RN, BSN, CDMS, CCM, CLCP, MSCC, CMSP, CMSP

                   Leslie Schumacher, RN, CRRN, CCM, LNCC, CLCP, CNLCP, MSCC, CMSP

         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

 

Module 8: Roundtable Wrap-up

Presenters: Fran Provenzano, RN, BSN, CDMS, CCM, CLCP, MSCC, CMSP, CMSP

                   Leslie Schumacher, RN, CRRN, CCM, LNCC, CLCP, CNLCP, MSCC, CMSP

                    Christine Melancon, RN, CCM, MSCC, CNLCP, CMSP

                   Thomas Spratt, MSCC

 

Click here to purchase the full MSCC training module.  

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