Medicare Secondary Payer Legislation, Required Reporting, Processes, and Workflows


The Medicare, Medicaid, and SCHIP Extension Act of 2007 (P.L. 110-173), Section 111, requires insurers and self-insurers to report to the Centers for Medicare and Medicaid Services (CMS) all injury claims involving Medicare-eligible claimants (recipients). In this web seminar, you’ll learn about requirements of the law and best practices for processes and workflows to ensure full compliance. Topics will include reporting, conditional payments, and Medicare set-aside arrangements.

Who Should Attend:
Claims professionals and risk managers

Presentation Date:
April 23, 2012, 2:00 p.m., EST

John GiknisJohn Giknis
Assistant Vice President
ISO ClaimSearch Operations

John Giknis, CPCU, SCLA, RPA, AIC, is ISO’s assistant vice president for ISO ClaimSearch operations.  He is responsible for the business operations of ISO ClaimSearch, the property/casualty insurance industry’s all-claim database. Mr. Giknis has nearly 20 years of experience in managing claims databases. Before specializing in that field, he held several positions in claims operations for the ACE/INA Property and Casualty Insurance Company. He represents ISO on the CPCU National Claims Committee, and he is a member of the Loss Executives Association and an associate member of the American Association of State Compensation Insurance Funds.

Rob LewisRob Lewis
Crowe Paradis Services Corporation

Robert Lewis is President of Verisk’s Crowe Paradis Services Corporation (CPSC), a leading national Medicare compliance firm. He is a founding member and former president of the National Alliance of Medicare Set-Aside Professionals (NAMSAP), chairman of the Defense Research Institute (DRI) Medicare Compliance Committee, and a member of the Steering Committee for the Medicare Advocacy Recovery Coalition (MARC). Mr. Lewis has published numerous articles on Medicare compliance and is a frequent speaker on the topic.