Codes, Crackdowns, & Compliance: Coping with the ICD-10 transition and other evolutions in lien resolution and MSP compliance.
Published by Consumer Attorneys Association of Los Angeles and Consumer Attorneys of San Diego
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Duration: 75 minutes
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Summary
• Overview of the transition from ICD-9 to ICD-10 codes
• The impact of ICD-10 codes on lien audits and other case considerations
• How CMS uses ICD-10 codes to enforce the Medicare Secondary Payer Act
• Recent changes in lien and subrogation laws and how to ensure compliance
• The latest guidance with regard to “future medicals” compliance in Medicare cases
Presenters
Ginger Susman, Esq.
Ginger Susman, Esq. is the President of Providio MediSolutions, LLC, a premier full service provider of Medicare Secondary... Read MoreGinger Susman, Esq. is the President of Providio MediSolutions, LLC, a premier full service provider of Medicare Secondary Payer Act (“MSP”) compliance solutions. As co-found and a senior member of the Providio management team, Ms. Susman has been integral in the development of the company’s operational processes and its various services/products including its proprietary Medicare and Settlement Guidebook™ with dedicated compliance website. Ms. Susman speaks with MSP stakeholders (including attorneys, claims executives and legislators) about compliance every day and is very familiar with the concerns, confusion and complaints they have with respect to the MSP, as well as industry perceptions around various solutions.
Prior to her involvement with IFS and Providio, Ms. Susman served as Senior Vice President Corporate Development and General Counsel at Denver-based IQNavigator, Inc., the leading provider of on-demand services procurement software and managed service programs. From 1996-2000, Ms. Susman was an attorney in the corporate business group at Denver-based Holland & Hart, LLP. Ms. Susman received her undergraduate degree in 1990 from The University of Texas in Austin, TX, and her J.D. in 1996 from St. Mary's University School of Law in San Antonio, TX at which she was an editor and published writer on law review. Read Less
Gary Goldberg
Gary Goldberg is Senior Vice President of Business Development for Providio MediSolutions, LLC. Gary was Providio’s first... Read MoreGary Goldberg is Senior Vice President of Business Development for Providio MediSolutions, LLC. Gary was Providio’s first sales team hire in 2012 and focuses on both the mass tort and single event sectors. He frequently leads seminars and training sessions on the topics of lien-resolution strategies, post-settlement administration solutions, claims expense control, and implementation of MSP compliance protocols for law firms, TPAs, self-insureds, captives, and casualty insurance carriers.
Gary holds both an Accredited Advisor of Insurance (AAI) designation and an Advisor in Risk Management (ARM) designation. His advanced knowledge of workers' compensation, alternative risk financing, and claims management allows him to keenly understand the needs and objectives of the parties to personal injury settlements.
Prior to joining Providio, Gary was a leading commercial insurance broker and managing surety director for Harden from 2007-2012 where, among other things, he developed and launched the firm’s surety bond division and designed/implemented training programs for other brokers/business development professionals at the firm.
Gary earned both his Bachelor of Science degree in Finance and his Masters in International Business from the University of Florida. He also studied financial derivatives at Finland’s Helsinki School of Economics and International Business at Spain’s University of Valencia. Read Less
Originally Published
February 3, 2016
Program Titles and Supporting Materials
This program contains the following components:
Codes, Crackdowns, & Compliance - Video
Codes, Crackdowns, & Compliance - Paper
How To Attend
Join the self-paced program from your office, home, or hotel room using a computer and high speed
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Technical Requirements
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Credit
If applicable, you may obtain credit in multiple jurisdictions simultaneously for this program (see pending/approved list below).
If electing credit for this program, registrants in jurisdictions not listed below will receive a
Certificate of Completion that may or may not meet credit requirements in other jurisdictions.
Where applicable, credit will be only awarded to a paid registrant completing
all the requirements of the program as determined by the selected accreditation authority.
