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Available 
Practitioner’s Guide to Settlements, Offsets & Set-Asides
By Angelo Paul Sevarino, Esq.
Author of Connecticut Worker’s Compensation after Reforms (3rd Edition)
All this for Only $225.00
This updated, indispensable and all-inclusive reference guide is essential for workers’ compensation, personal injury, or social security practitioners, as well as, insurance claim professionals and structured settlement specialists in the settlement of claims with concurrent workers’ compensation, social security disability, supplemental security income, Medicare or Medicaid benefits.
Negotiation of and drafting of these complex settlement documents is a minefield filled with potholes. The text provides an authoritative, detailed, in-depth analysis of the interplay amongst these important client benefits. This resource guide will assist you in protecting your clients, as well as, yourself from Social Security overpayment claims, Medicare conditional recoupment actions, resolving Medicaid/State lien issues, Medicare denials of future claims and loss of important client Medicare or Medicaid benefits.
Topics Include;
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Client interview techniques and file development |
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Medicare, “Liens” and rights of recovery-compromising or waiver |
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Conflicts of Law Issues |
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Medicare’s conditional payment repayment obligations |
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Social Security Administration program changes |
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Medicare Set-aside (MSA) drafting and contract provisions |
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Social Security Disability/Supplemental Security Income eligibility criteria and evaluation |
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MSA funding mechanisms |
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The Centers for Medicare & Medicaid Services (CMS) program Changes |
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MSA administration options |
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Medicare/Medicaid eligibility criteria |
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MSA payments and termination |
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Medicare’s various coverage parts including prescription drug coverage |
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CMS review thresholds for referral of the MSA |
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Collateral benefits interplay with workers’ compensation/liability settlements |
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CMS referral processes and required documentation or Special Needs Trust approval |
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How to use ”excludable expenses” to reduce offset impact |
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Special Needs Trust – use of in workers’ compensation/liability settlements |
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Social Security Offset calculations with examples |
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Amending/Opening a settlement to conform with CMS guidelines |
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Settlement types subject to Offset |
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Appeals of adverse CMS decisions |
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Evidentiary rules |
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Sample Forms and Guidelines |
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Medicare Secondary Payer (MSP) Rules and Regulations |
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Medicare, Medicaid and SCHIP Extensions Act of 2007 |
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