| Quick Links |
2016 Annual Meeting
September 14 - 16, 2016
San Antonio
Marriott Riverwalk
San Antonio, TX
|
|
Silver Partners
| |
Corvel
ExamWorks
Clinical Solutions
FIG Services
Helios
LASIE
MediVest
NuQuest
Plan Point
|
|
Bronze Partners
| |
Accident Fund
Burns White, LLC
Concierge Medical
& Risk Consultants
Dickie, McCamey &
Chilcote, PC
Hedrick Gardner
Innovative Claims Strategies
Legacy Claim Solutions
NurseValue, Inc
Reduce My MSA
Rising Financial Solutions
|
|
|
|
Patureau, Deane, Gitter & Melancon
Elected to Lead Organization;
Board thanks Basista for his service and appoints Wilson to vacancy
|
Elmhurst, IL, January 26, 2016: The Board of Directors of the National Alliance for Medicare Set-Aside Professionals elected the following officers for the 2016 year:
- President: Gary Patureau, CMSP, CWCP - Executive Director/COO of the Louisiana Association of Self-Insured Employers (LASIE)
- Vice President: Shawn Deane, JD, MEd, MSCC, CMSP - Assistant Vice President of Product Development of ISO Claims Partners
- Treasurer: Greg Gitter, CMSP - President of Legacy Claims Solutions, Inc. (a Gitter Company)
- Secretary: Christine Melancon, RN, CCM, MSCC, CNLCP, CMSP - Vice President of Operations for EZ-MSA Services
|
|
| |
By: Gary Patureau, CWCP, CMSP
Executive Director/COO
NAMSAP Members:
As President of NAMSAP for 2016, I look forward to working with all of you. A prime objective for this year is to increase participation from our membership in the development of goals for the organization. As you all know the strength of any association is its members' investment in the strategic planning and implementation process. The 2016 Board of Directors and Committee Chairs are reaching out to the greater membership to increase membership, educational programing and professional development opportunities. We need your help to continue to positively influence the evolution of MSP compliance at the federal level.
|
Commercial Repayment Center
Conditional Payment Recovery Update
| |
 This past July, the Centers for Medicare and Medicaid Services (CMS) announced that a portion of Non-Group Health Plan (NGPH) conditional payment recovery would transition to the Commercial Repayment Center (CRC). As of October 5, 2015, and going forward, the CRC took over recovery against insurance carriers and self-insureds when these entities are identified as the debtor. Debtor status is generally conferred to insurance carriers and self-insureds pre-settlement in Workers' Compensation (WC) and by default in No-Fault (NF) claims.
|
Will More States Implement Workers'
Compensation Drug Formularies in 2016?
| |
By:
Rita M. Wilson 
The implementation and use of a drug formulary is lining up to be one of the hottest trends in the workers' compensation system in 2016. Based on the four states that currently have them, formularies can reduce the use of risky medications, improve outcomes for injured workers and lower costs for payers - clearly, a win-win for all stakeholders.
|
CMS' Opioid Utilization Policies
| |
By: Rasa Fumagalli JD, MSCC 
Director of Compliance, NuQuest
Opioid pain relievers continue to play a significant role in the national overdose death rate. According to the January 1, 2016 Centers for Disease Control and Prevention (CDC) Morbidity and Mortality Weekly Report, approximately 47,000 deaths in 2014 were related to overdoses from opioid pain relievers and heroin. This figure represents a 6.5 percent increase from the opioid overdose deaths reported in 2013. The most common drugs involved in the overdoses were the natural and semisynthetic opioids, such as oxycodone and hydrocodone.
|
Recent Developments from the SMART Act:
Pre-Settlement Final Demand Functionality and Liability Threshold
| |
Heather Schwartz Sanderson, Esq., MSCC, CHPE,
CLMP, CMSP
Chief Legal Officer
The SMART Act, enacted on January 10, 2013, requires the Centers for Medicare and Medicaid Services (CMS) to continue to assess and reform certain aspects of the Medicare Secondary Payer Act (MSP) over time. We recently had two developments from CMS out of the SMART Act: 1) CMS has now made a functionality available via the Medicare Secondary Payer Recovery Portal (MSPRP) which will allow parties to obtain a final conditional payment demand prior to a final settlement, judgment, or award, and 2) CMS has assessed its threshold for liability settlements and determined that the current threshold of $1000 settlements or less do not require conditional payment reimbursement or reporting to CMS. Let's further delve into both developments and discuss any current or future impact it may have on claims handling.
|
Deane, Melancon, Patureau & Wiswell
Reelected to Board of Directors
| |
The election for the National Alliance of Medicare Set-Aside Professionals (NAMSAP) occurred from early November until December 4, 2015. The Board of Directors, upon the consultation and involvement of its subsidiary committees, sets and implements policies and charts the general direction of the alliance in general while also ensuring proficient management. 88 voting-eligible members cast a ballot online. According to the NAMSAP bylaws (last amended 12/18/20141), the election results would determine the three (3) Category One (1) Directors for a three (3) year term beginning January 2016. Per the bylaws, a fourth seat that became vacant and was filled by board appointment is also up for election.
|
|
| | (Click the committee title to read report)
|
|
|
| |
The NAMSAP Communications Committee would like to encourage you to submit an industry-related article for our upcoming newsletter. We are accepting submissions in the following categories: Legal, Legislative, and Medical. If you are interested in contributing to one of these categories, or have an idea for a new category, please contact Rita Wilson, Communications Committee Chair. She can be reached by email at Rita.Wilson@TowerMSA.com.
|
|
|
