Medicare, Medicaid, VA liens

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On-Demand Video
---------- CLE 3 sub/0 eth PRICE Regular: $159.00
New Attorney: $80.00
Subscribers Pay: $0.00


The Medicare Secondary Payer Statute (MSP) provides Medicare with the statutory right to remain a secondary payer where a primary payer exists for claim-related Medicare-covered medical treatment. A primary payer is defined by Medicare as a liability, no fault, self-insured, or workers’ compensation insurance plan. The obligation to assume primary payment responsibility under the statute occurs upon the settlement, judgment, or award of an action against a defined primary plan regardless of an admission of liability. To protect all of the parties to an action in the resolution of a civil claim, it is important that the parties be aware of Medicare’s defined areas of Medicare compliance and Medicare’s recovery rights under the Medicare Secondary Payer Statute.

Explore the following topics:

  • A review of Medicare basics
  • The Medicare Secondary Payer Statute (MSP)
  • Medicare's recovery rights under the MSP
  • Section 111 Medicare mandatory insurance reporting
  • Medicare Part C and D recovery rights in the third circuit and beyond
  • Medicare Set-Aside (MSA) update in general liability and workers' comp claims
  • Is the workers' comp MSA process stopping settlements?
  • MSA concerns for attorneys, claimants, and judges in WC cases
  • The role and benefit of annuities in funding MSAs
  • Understand Medicare's enforcement rights and actions under the MSP
  • Medicare compliance from the plaintiff's perspective
  • Why does the defendant care?
  • What about plaintiff's ERISA liens?
  • MSP case law and the latest regulations
  • Updates on the most recent workers comp case law, general liability case law, and MSP regulations
  • Medicaid recovery rights in PA
  • Entitlement/ loss of entitlement
  • Medicaid recovery rights
  • The use of special needs trusts in PI claims
  • The growing practice of structuring MSAs into special needs trusts


No speakers have been associated with this event.
Faculty may vary by location.
PBI reserves the right to substitute speakers at all programs.