US Supreme Court Overturns Chevron – Legal Implications to Medicare Compliance & MSAs
Watch our recorded webinar from July 11, 2024, where Heather Schwartz Sanderson, CEO, and Brendon De Souza, Managing Attorney at Sanderson Firm, discuss the Supreme Court's recent decision to overturn Chevron in Loper Bright Enterprises v. Raimondo. This landmark ruling shifts how courts interpret ambiguous laws, moving away from federal agency deference. The webinar explores the implications of this change for Medicare Secondary Payer (MSP) compliance, including potential impacts on Non-Submit MSAs and Section 111 Reporting. Key topics include an overview of administrative law, a review of significant related cases, and what the Loper decision means for future MSP compliance and civil money penalties.
Preparing for Medicare Section 111 Reporting Audits: Avoid CMPs with Expert Guidance!
Stream our past webinar from June 13, 2024, as Heather Sanderson, CEO, and Kathy Bell, VP of Medicare Reporting at Sanderson Firm, provide expert guidance on preparing for Medicare Section 111 reporting audits. With the Centers for Medicare & Medicaid Services Final Rule on Civil Money Penalties becoming applicable on October 11, 2024, this session is crucial for Responsible Reporting Entities looking to avoid penalties for non-compliance. Topics include an overview of CMPs, compliance timeframes with CMS auditing starting in October 2024, events triggering CMPs, and how to ensure your organization remains compliant. Learn from specific examples of non-compliance across different plan types and avoid the penalties that CMS could impose.
Decoding MSP: Best Practices and Common Myths
Revisit our enlightening webinar with Heather Schwartz Sanderson, Esq., and Brendon De Souza, Esq., focusing on Medicare Secondary Payer Compliance (MSP). Recorded during a dynamic session, they address common myths and establish best practices for MSP compliance. This webinar covers crucial topics such as debunking myths around Section 111 reporting penalties, evaluating template settlement agreement language, understanding non-submit Medicare Set-Asides, and navigating private Medicare conditional payment recovery rights. Although no CEUs/CLEs were offered, the insights shared are invaluable for legal professionals and healthcare practitioners aiming to strengthen their MSP compliance programs.
MAP Recoveries and PAID Act Implications: Strategies for Mitigating Risk
Watch our past webinar from March 13, 2024, where Sanderson Firm, joined by subrogation expert Brian Bargender, Heather Sanderson, and Kayla Pigeon, discussed Medicare Advantage (MAP) conditional payment recoveries and the PAID Act's impact. This expert panel navigated the complexities of MAP recoveries, negotiations, and disputes, providing key insights into how the PAID Act influences practices across MAP plans. Learn best practices for mitigating risks related to conditional payment exposures and utilizing PAID Act data effectively. Gain valuable strategies to protect your organization from financial risks associated with MAP recoveries in this essential viewing for professionals dealing with Medicare Advantage Plan recoveries.
Medicare Set-Asides in 2024: Trends, Updates and Predictions
Explore the intricacies of Medicare Set-Asides from our recent webinar featuring Heather Sanderson, Esq., Brendon De Souza, Esq., and Deanna Lawrence, LPN of Sanderson Firm, PLLC. Recorded on February 1, 2024, this session delves into the latest Medicare Set-Aside policy updates, prevailing trends, and forward-looking predictions for managing MSAs efficiently. Learn about the current debate on submit vs. non-submit MSAs, the implications of potential Section 111 reporting expansions, CMS determination trends, and strategies for zero-dollar MSAs.
Update on CMS Final Ruling on Penalties for Section 111 Reporting with Heather Sanderson
Tune into the 'ADJUSTED' podcast for an exclusive episode featuring Heather Schwartz Sanderson, our Founder & CEO. In this engaging discussion, Heather analyzes the recent CMS final ruling on Section 111 penalties. Discover its profound implications for insurance carriers and the future of the insurance industry. Brought to you by Berkley Industrial Comp, this episode offers critical insights for professionals in the insurance sector. Join us for a deep dive into the evolving world of insurance with expert guidance from Heather Sanderson.
CMS to Potentially Require MSA Reporting
Discover key insights from Heather Sanderson and Brendon DeSouza in our on-demand webinar, 'Breaking Down CMS' New Potential Reporting Requirement of Medicare Set-Asides.' Explore the critical updates from CMS's November 2023 webinar, understand the possible impact of Section 111 changes on MSA reporting by 2025, and get practical strategies for your practice. Access the webinar now for essential knowledge and tips to stay competitive in the MSA field.
Conditional Payments Fundamentals: Best Practices and Common Mistakes
Explore "Conditional Payments Fundamentals: Best Practices and Common Mistakes" in this recorded webinar. In this informative session, experts Heather Sanderson and Kayla Pigeon provide essential updates and insights into the complex world of conditional payments. Discover the latest on Section 111 reporting penalties and how to mitigate risks like double damages, among other critical topics. Stay ahead in compliance—watch now!
CMS Final Rule for Section 111 Civil Monetary Penalties
Missed the CMS Final Rule webinar on Civil Monetary Penalties (CMPs)? You can catch up here and watch on demand. Learn about the implications of the Final Rule for non-compliant Responsible Reporting Entities (RREs) and the $1,000 per day, per claim penalties for improper Section 111 Reporting. Stay informed to protect your organization!
Medicare Section 111 Reporting Webinar
Join us for a recap of our exclusive webinar on Medicare Section 111 Mandatory Insurer Reporting with Heather Schwartz Sanderson, Esq., and special guest speaker Kathy Bell, AIC, SCLA, CMSP from Sanderson Firm. Discover key insights about Medicare reporting, common errors to avoid, and got prepared for upcoming changes. If you missed this essential update, catch up now!
Medicare Set-Asides in Workers' Compensation and Liability Claims: What's New in 2023?
Discover the latest changes in Medicare Set-Asides (MSAs) for workers' compensation and liability claims in 2023. In this video, we break down the key highlights, including medical cost allocation, legal compliance, financial considerations, documentation, and the importance of timeliness. Stay informed and ensure your MSA practices are up-to-date.
Liability Claims and Medicare Secondary Payer: Best Practices for 2021 and Beyond
Discover essential insights on liability claims and Medicare Secondary Payer (MSP) compliance in our on-demand webinar, 'Liability Claims and Medicare Secondary Payer: Best Practices for 2021 and Beyond,' hosted by Heather Schwarz Sanderson, Founder & CEO of Sanderson Firm. Gain an understanding of recent MSP developments, such as MSP Recovery's legal actions and the impactful Paid Act.
Clinical Mitigation Strategies for Cost Effective MSAs
Discover how to manage Medicare Set-Asides (MSAs) cost-effectively in our recorded session featuring top MSA experts from Sanderson Firm, including CEO Heather Schwartz Sanderson, COO Brenda Smith, and Assistant VP of Clinical Services Deanna Lawrence. Despite CMS's statistics showing an average MSA counter-high increase of nearly 22% in 2023, our team demonstrates that MSAs can be both affordable and reasonable with the right clinical mitigation strategies. The webinar delves into best practices for reducing MSA costs, insights on submitted vs. non-submitted MSAs, and an overview of the new MSA reporting requirements effective April 4, 2025.
Embracing the Future of Medicare Secondary Payer
Watch our recorded webinar as Heather Schwartz Sanderson, CEO, and Brendon De Souza, Chief Legal Officer, navigate the transformative changes in the Medicare Secondary Payer (MSP) landscape seen in 2024 and what to expect in 2025. This session highlights the Supreme Court's Loper Bright Enterprises v. Raimondo decision, new CMS reporting requirements, and upcoming shifts like the initiation of CMS Civil Money Penalties and mandatory WCMSA TPOC reporting starting in 2025. Discover potential policy adjustments for Zero-WCMSAs and anticipate Medicare impacts under President-elect Donald Trump. Gain valuable insights to enhance your MSP compliance strategy moving forward.