Course Provider
Learning Objectives
Review the Medicare Coordination of Benefits
Discuss Section 111 Reporting and when it is used.
Identify the Medicare and Repaying Taxpayers Act of 2012 and its impact on ORM-Threshold for recovery.
Discuss the Section 111 termination trigger and policy language, including concerns.
Review manual reporting and when to call the BCRC.
Discuss CMS WCMA submission and how it is utilized.
Discuss the interruption of medical benefits and how it impacts the claimant.
Review the data information for the file, what to do when it is wrong, and conditional payments because of coordination.