Wednesday, August 30, 2017; 1:30 PM - 2:30 PM EDT 
Settling the Score Between No-Fault Insurers and Medicare Advantage Organizations: Learn how recent developments in managed care litigation are increasing your recovery potential under the Medicare Secondary Payer Law.  


Presentation Summary Description
Every year MAOs lose out on millions of dollars in claims which should be paid or reimbursed by another entity (i.e. Auto Insurers, General Liability Insurers, Pharmaceutical Manufacturers, etc.).  It is costly and time consuming to identify each instance MAOs are owed money.  MAOs have been granted all the rights that Medicare is entitled to, but without a system to capitalize on these rights, they are meaningless.  Four legal cases in Florida are a signal that the tide is turning and courts are giving MAOs the tools to recover on paid claims.

Frank C. Quesada, Esq.

A partner with the MSP Recovery Law Firm, Frank focuses his practice on managed care litigation and recovering MAOs’ improper payments.  Frank oversees 30+ attorneys in-house and over 22 nationally recognized law firms that assist the MSP Recovery Law Firm in their efforts.

Throughout his career, Frank has represented companies in a variety of complex commercial litigation cases and trials in both state and federal courts.

In the last 2 years, Frank has successfully participated in: (1) certifying the 1st class action related to the Medicare Secondary Payer Act’s double damages provision; (2) certifying the 2nd class action related to MAOs’ recovery rights and (3) prevailing on 2 major decisions in the federal appellate courts solidifying MAOs’ recovery rights pursuant to the Medicare Secondary Payer Act.

In his free time, Frank is an elected official and serves as a City of Coral Gables Commissioner and is involved in numerous South Florida civil and charitable organizations.

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United States: +1 (872) 240-3311 

Access Code: 645-768-981 

Sponsored by:
MSP Recovery

August 31 at 2pm EST
RAPS to EDPS: Taking Appropriate Next Steps to Safeguard Your Revenue

Program Summary:
Government-regulated health plans are concerned about the impact to risk scores and revenue due to CMS requiring Medicare Advantage plans to dual submit encounters using both RAPS and EDPS. While RAPS has been used for some time and the amount of data CMS requires is nominal, EDPS is much more complicated and the submissions contain extensive data on each encounter.

Our presenter will discuss:

  • What you need to know for the next phase of this transition
  • Successful strategies and workflows to avoid revenue issues
  • How to improve internal processes for error resolution and financial analytics
  • Tips for prioritizing revenue-impacting errors

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