CMS Compliance & the Recently Filed Qui Tam/False Claims Act Lawsuit: Has the Heat Been Turned Up?


About this webinar

This program will focus and provide a summary of the current and anticipated statutory and regulatory requirements relating to compliance under the Medicare Act, as well as the impact of the recently filed case in Federal Court pursuant to the Qui Tam provisions of the False Claims Act, upon RREs and claim programs. These developments bring compliance concerns relating to the three primary obligations under the Medicare Act with Section 111 Reporting, WCMSA/LMSAs and Conditional Payment Reimbursement for workers’ compensation, liability, and MedPay/PIP policy claims to the forefront of the claim handling and settlement process. Attendees will take away best practices to consider employing within a casualty program to document and increase compliance, improve claim closure rates, remove confusion, and create a national consistent program approach.

Program Leader

Thomas S. Thornton, III of Carr Allison in Alabama has focused his litigation practice on the defense of premises liability, product liability, transportation, general liability, as well as catastrophic workers’ compensation matters. Tom also serves as National Medicare Compliance Counsel for many of his business, insurance and TPA clients, ensuring compliance with the Medicare Secondary Payer Act and Section 111 Reporting while bringing strategic solutions to the forefront for claim closure.

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