Join Heather Schwartz Sanderson, CEO, and Brendon De Souza, Chief Legal Officer, for a free webinar as they look ahead to the most critical recent and upcoming MSP policy changes. (Please note: No CEUs/CLEs will be offered.) This session will provide key insights and practical strategies to help you prepare for CMS's Civil Money Penalties audits starting in October 2025, WCMSA TPOC reporting requirements for Medicare beneficiary settlements beginning in April 2025, potential policy changes that could impact Zero-WCMSAs, and the influence of President-elect Donald Trump on Medicare programs.

Reserve Your Spot Today

Join our Zoom webinar to learn how proactive clinical mitigation strategies can make Medicare Set-Asides (MSAs) both cost-effective and conducive to reasonable settlements. Despite MSAs often being viewed as costly, Sanderson Firm will share best practices for reducing these costs, insights on the dynamics of MSAs, and details about the upcoming reporting requirements. This session will feature top MSA experts from Sanderson Firm, offering strategies and guidance to optimize your approach to MSAs.

Join us for a crucial MSIA Webinar with Heather Sanderson. Starting next April, CMS will require reporting of all workers' compensation settlements involving Medicare-eligible individuals, even without an MSA submission. Non-compliance could lead to penalties of up to $1,000 per claim per day, with fines possibly exceeding $500,000. Random CMS audits begin October 11, making this webinar vital to avoid penalties and protect Medicare benefits. Free for MSIA members; $25 for non-members. CE credits are available.

For more details, reach out to: Debbie Collins McCune (503-545-5857) or Michael Marsh (406-656-9960)

Join us via Zoom for a crucial CAJPA webinar on Medicare Secondary Payer updates as it pertains to liability claims. With new CMS enforcement rules and increased fines for noncompliance, it's vital to stay informed. Heather Sanderson, Esq., will cover the latest MSP developments, best practices for Section 111 Reporting, and strategies for handling Medicare Advantage liens. Register by July 23, 2024, for $10 (non-members). For details, contact Melissa Feltz at mfeltz@cajpa.org or 916-231-2131. Register Here

On June 28, 2024, the Supreme Court overturned Chevron U.S.A., Inc. v. Natural Resources Defense Council, Inc., shifting federal courts' approach to ambiguous laws. Join CEO Heather Schwartz Sanderson and Managing Attorney Brendon De Souza as they discuss the new Loper decision's impact on MSP compliance. They'll simplify what this means for interpreting the Medicare Secondary Payer (MSP) Act and potential challenges to Medicare guidance. Register Here

On October 11, 2024, CMS's Final Rule on Civil Money Penalties (CMPs) for improper Section 111 reporting becomes applicable to all Responsible Reporting Entities (RREs), potentially resulting in significant penalties for non-compliance. Join Sanderson Firm’s experts Heather Schwartz Sanderson, CEO, and Kathy Bell, VP of Medicare Reporting, for a webinar discussing compliance best practices and preparing for upcoming audits.

Registration for this webinar is free, although we won't be offering CEUs or CLEs. REGISTER HERE

Join the Sanderson Firm's esteemed legal experts, Heather Schwartz Sanderson, Esq., and Brendon De Souza, Esq., as they unravel the complexities of Medicare Secondary Payer Compliance (MSP). Gain invaluable insights into debunking common myths surrounding MSP best practices, ensuring your compliance program is robust.

Delve into crucial topics such as navigating Section 111 reporting penalties, optimizing template settlement agreement language, understanding non-submit Medicare Set-Asides, uncovering private Medicare conditional payment recovery rights, and more! Don't miss this opportunity to elevate your MSP compliance strategy.

 [CLICK HERE TO REGISTER] (No CEUs/CLEs offered)

Join us at the Marriott Hutchinson Island this spring for a compelling session on CMS Section 111 Civil Money Penalties, featuring Gerardo Sanchez, Sanderson Firm's VP of MSP Compliance. Gerardo’s panel runs from 10-11 am, it will shed light on the latest developments and prepare you for the future of compliance. Additionally, our VP of Business Management, Mark Ferrare, will be attending, offering his insights and expertise.

This event is a cornerstone for senior claim executives and chief claim officers, providing a forum to foster responsible leadership and share strategic insights. As part of our commitment to the intelligent use of company investments, we extend our invitation to professionals nationwide. Don't miss this opportunity for growth, networking, and leadership at one of Florida's premier venues.

To schedule a meeting, please connect with Mark Ferrare at mark@sandersoncomp.com.

On March 13, 2024, Sanderson Firm invites you to join a webinar with our special guest, Brian Bargender, a leading subrogation consultant for a top Medicare Advantage Plan. Alongside Heather Sanderson and Kayla Pigeon, this expert panel will delve into the nuances of Medicare Advantage (MAP) conditional payment recoveries and the latest developments stemming from the PAID Act.

Brian, Heather, and Kayla will navigate through the current landscape of MAP recoveries, negotiations, and disputes, offering insights into how the PAID Act is shaping practices across various MAP plans. They'll share best practices to mitigate the risks associated with conditional payment exposures and demonstrate the effective use of PAID Act data.

As MAP conditional payment recoveries pose significant challenges due to inconsistent recovery practices and the looming threat of double damages against payers that delay reimbursements, this discussion is timely and pertinent. Attendees will leave equipped with essential strategies and knowledge to safeguard their organizations from these financial risks.

Don't miss this opportunity to enhance your understanding and approach to Medicare Advantage Plan recoveries with guidance from seasoned professionals. Mark your calendar and prepare for an informative session filled with actionable takeaways. CLICK HERE TO REGISTER

Join us on March 8, 2024, for the OCBA Workers' Compensation Section Meeting, featuring Heather Sanderson, CEO of Sanderson Firm PLLC, as our speaker. From 12:00 PM to 1:00 PM, Heather will provide an insightful update on Non-Submit Medicare Set-Asides (MSAs), sharing observations and making predictions for the year ahead.

In early 2022, CMS's stance on Non-Submit MSAs suggested a shift, hinting at potential challenges for those not submitted for approval. However, the narrative changed quickly, with CMS clarifying their position to focus on instances where there might be a burden shift to CMS. As we move into 2024, the use of Non-Submit MSAs continues without significant challenges from CMS, maintaining their role as a vital tool for settlements. This session will also cover the latest discussions around CMS potentially requiring MSA amounts to be reported under MMSEA Section 111.

This meeting is essential for attorneys and professionals in the workers' compensation field, offering 1.00 CLE Credit for full participation. Ensure your place by registering in advance and downloading the registration flyer. For any OCBA members in Orange County, check your profile for login details or contact info@ocbar.org for assistance. Note that cancellations must be communicated at least three business days in advance for a refund.

Don't miss this opportunity to gain valuable insights into Non-Submit MSAs and prepare for the evolving landscape in 2024.

Join us for an insightful webinar hosted by IEA on February 14th. Dive deep into the latest Medicare Set-Aside (MSA) developments with our Founder & CEO, Heather Schwartz Sanderson, Esq. Gain critical insights into CMS's new reporting mandates for 2024.

Key Topics:

• Build a solid foundation in understanding MSAs and their strategic application.

• Learn to differentiate between Non-Submit and submitted MSAs.

• Explore the pros and cons of submitting an MSA to CMS.

• Understand the impact of CMS's new reporting requirement on workers' compensation payers and compliance best practices.

Earn CEU Credits:

This webinar offers 1 Credit Hour for CA-WC-Adjuster, CPDM, CPWC, MCLE, SHRM, HRCI. Stay throughout the webinar on the same device to earn a certificate for this class.

Don't miss this opportunity to stay ahead in the ever-evolving world of workers' compensation and Medicare compliance. Secure your spot today! CLICK TO REGISTER

Join Heather Schwartz Sanderson, Esq., Brendon De Souza, Esq., and Deanna Lawrence, LPN of Sanderson Firm, PLLC on February 1, 2024, at 1:30 PM EST / 10:30 AM PST to learn about recent Medicare Set-Aside policy updates, current trends involving Medicare Set-Asides, and future predictions on proper Medicare Set-Aside handling. As noted in recent blogs, the Centers for Medicare & Medicaid Services (CMS) has remained busy with Medicare Set-Aside compliance as evidenced by the future potential expansion of Medicare Set-Aside reporting via Section 111 reporting and statistics showing an increase in the amount of Medicare Set-Aside allocations submitted to CMS for review and approval in 2023. Attendees will benefit from learning about:

·  The current status of submit versus non-submit Medicare Set-Asides

·  Significance of potential future reporting of Medicare Set-Asides via Section 111 of the Medicare, Medicaid, and SCHIP Extension Act of 2007, and whether this represents a direct attack against non-submit Medicare Set-Asides

·  CMS determination trends and cost-containment strategies for effective Medicare Set-Asides

·  Zero-dollar MSAs

Register now for Sanderson Firm PLLC’s first webinar of 2024: CLICK HERE TO REGISTER

Join the Insurance Education Association (IEA) and legal expert Heather Sanderson Esq. of Sanderson Firm, PLLC on January 17, 2024, at 2:00 PM EST/11 AM PST to learn about the Centers for Medicare & Medicaid Services (CMS) issuing a Final Rule on Civil Money Penalties (CMPs) which can be issued against primary workers’ compensation, general liability, and no-fault insurance payers. As our recent blog noted, these CMPs with inflation are currently in the amount of $1,428 per day/per claim!

Attendees of this webinar will benefit from:

• Essential strategies to ensure ongoing claims with Medicare beneficiaries are reported timely

• Understand the terminologies in reporting such as Ongoing Responsibility for Medical (ORM) and Total Payment Obligation to Claimant (TPOC) and when they need to be reported

• Take-away a basic understanding of Section 111 Reporting and how to avoid civil money penalties against your organization which can be up to $1000 per day/per claim (currently $1,428 per day/per claim with inflation.

Don't miss out on this opportunity to learn from one of the best in the industry about Civil Money Penalties (CMPs) and how to protect your organization against these hefty penalties.

Register now for this informative event with IEA and Heather Sanderson -  https://portal.ieatraining.org/course/

We are excited to invite you to a crucial webcast event hosted by Marsh, where we will address a significant development in the healthcare industry. The Centers for Medicare & Medicaid Services (CMS) has recently finalized a rule that will have far-reaching implications for organizations responsible for reporting claims under Section 111.

In this engaging and informative webcast, part of the Workers' Compensation Center of Excellence series, we will delve into the newly finalized CMS rule, which empowers CMS to impose civil money penalties (CMPs) of up to $1,000 per day, per claim. These penalties will be directed at noncompliant workers' compensation, general liability, and/or no-fault self-insured entities and carriers, also known as responsible reporting entities (RREs), that fail to report Medicare beneficiary claims and settlements in a timely manner.

Our guest speaker for this event is Heather Schwartz Sanderson, CEO of Sanderson Firm. With her expertise in the field, Heather will provide valuable insights into the implications of this rule and its potential impact on your organization.

Registration is entirely FREE for this informative session. Please note that CEUs/CLEs will not be provided for this webinar.

Register Here

Join us at the MSPN Annual Educational Conference in November for an insightful session titled "Re-Takes - Amended Review". This session offers a unique opportunity to explore the evolving landscape of the Amended Review process. Whether you're attending in person or via recorded live streaming, you'll gain valuable insights from our esteemed Managing Attorney, Brendon De Souza, along with other distinguished experts in the field.

In this session, we'll delve into the Amended Review process, learning what it is, how and when to request it, and uncovering effective strategies to achieve the results you desire. Panelists will share stories of past successes and failures, offering a comprehensive view of the topic. Don't miss out on this engaging and informative session at the conference. We look forward to your participation!

To schedule a meeting, contact Brendon De Souza at brendon@sandersoncomp.com or Kayla Pigeon at kayla@sandersoncomp.com.

Join us for an engaging and informative webinar, "Conditional Payments Fundamentals: Best Practices and Common Mistakes" hosted by Sanderson Firm. In this exclusive online event, we will explore the intricate world of conditional payment processes, with a focus on industry-leading best practices and essential insights to avoid common mistakes.

Why Attend:

Understanding and effectively managing conditional payments is vital in today's dynamic healthcare landscape. Since the enactment of the PAID Act in December 2021, the process of recovery has evolved, becoming more complex and multifaceted. Now, it's more crucial than ever for claims payers and professionals to adopt comprehensive conditional payment processes that encompass the entire spectrum of recovery. Click Here