Learn what can be done to take advantage of Social Security offsets in certain circumstances and avoid overfunding.
Social Security and Medicare cause issues for claim handlers, attorneys, and other interested stakeholders in workers’ compensation claims. This program will focus on the impact of government programs on workers’ compensation claims and what steps interested stakeholders need to take to drive cases toward settlement. A focus of the program will be on Social Security offsets and what can be done to take advantage of them in certain circumstances and avoid the overfunding that often occurs with Medicare Set-Asides. The material advocates a reasoned approach to allocating for the Medicare Set Aside and deciding whether submission for approval is advisable considering anecdotal evidence of MSA overfunding.
Learning Objectives
- You will be able to discuss steps that need to be taken to consider Medicare’s interests and protection (you) your client.
- You will be able to identify rules affecting settlement where the injured employee is receiving SSDI benefits.
- You will be able to recognize the difference between loss of earnings states and whole man states when it comes to SSDI offsets.
- You will be able to review general Medicare considerations in workers’ compensation claims and discuss Medicare compliance areas.
Agenda
Social Security Disability - It All Starts With SSDI
- Social Security Disability Process and Eligibility
- Rules Effecting Settlement Where Worker Is Receiving SSDI Benefits Loss of Earnings and Whole Man
Medicare: A Brief History of Government Benefit Coordination
- General Medicare Considerations
- Legal Basics for Medicare Compliance in WC Cases
- Medicare Compliance Areas
- Consequences of Noncompliance
Advantages of Medicare Approval in WC Cases
- Considerations When Submitting Cases
- The High Cost of the Overfunding Problem
- Medicare Approval Horror Stories
Conclusions
Speakers
Aaron Frederickson,
MSP Compliance Solutions, LLC- Legal practice experience in the areas of workers’ compensation, personal injury and Medicare/Medicaid compliance
- A health insurance professional and brings a passion to educating his peers
- Licensed to practice law in Minnesota since 2002, as well as Wisconsin starting in 2008
- Has litigated countless cases and founded a compliance consulting firm where he helped numerous individuals from diverse backgrounds across the United States
- Passions include assisting low income persons via pro bono legal representation
- J.D. degree, William Mitchell College of Law, St. Paul, MN; B.A. degree, St. Cloud State University
- Can be contacted at 651-485-7036 or aaron@mspComplianceSolutions.com
Who Should Attend
This live webinar is designed for human resource managers, workers’ compensation administrators, benefits and payroll professionals, business owners and managers, CFOs, controllers, claims and risk managers, safety managers, accountants, and attorneys.
