Medicare Set-Aside Certified Planner

The Medicare Set-Aside Certified Planner (MSACP) program provides 11 approximately 1-hour courses focusing on the fundamentals and development of a workers’ compensation Medicare Set-Asides (MSAs). This program caters to individuals with various levels of experience with MSAs, from beginners to seasoned experts. Individuals that would benefit from taking MSACP include but are not limited to nurses, attorneys, and claims professionals.

The course offers a comprehensive exploration of the history of MSP, detailed insights into constructing an MSA, guidelines for proficiently analyzing medical records and prescription histories, a comparison between traditional and evidence-based methodologies, approaches to minimize medical cost drivers, instructions on CMS submissions, and best practices for professional administration. Upon completing this course, you will be equipped to develop and write an MSA as well as grasp the intricate details associated with the MSA process and possible submission to the Centers for Medicare & Medicaid Services (CMS) for approval.

The MSACP program provides a fully encompassing online learning experience that accommodates self- paced study, regular updates on MSP advancements, and direct access to MSP College instructors for expert guidance. MSACP caters to individuals looking to enhance their understanding of MSAs, as well as to those individuals looking to create a career in MSA allocating. Further, the course benefits organizations aiming to educate their teams with top-tier instruction on MSAs. The distinctive feature of MSACP lies in its fusion of online convenience with the interactive benefits of traditional learning.

For those seeking cutting edge expertise on MSAs and bolster their career by seeking a certification in such knowledge, MSACP is the optimal choice.

Introduction to MSP: An Overview of MSP principles and the legal framework

MSA Overview: High level overview of what an MSA is, what documentation is needed, and what details should be included.

Medical Record Review: A deep dive into reviewing records to determine future medical care.

Prescription Overview: Reviewing prescription history and learning to properly allocate and price medications in an MSA.

MSA Deeper Dive: Review of the WCMSA reference guide, rated ages, identifying future medical treatments, and pricing.

Non-Submits/Evidence Based MSA’s: Reviewing the differences between submittable and non- submittable MSAs and the role of evidence-based guidelines in MSA preparation.

Medical Cost Projection and Non-Covered Items: An overview of medical cost projections and providing non-Medicare covered items.

Mitigation Strategies: How to identify medical cost drivers and apply methods to assist in mitigating future medical care.

CMS Submission, Reconsideration and Amended Review: Appropriately preparing an MSA for CMS submission and the process for reconsideration and amended reviews.

MSA Administration: Funding the MSA proceeds through self-administration vs. professional administration

Sample MSA Allocation: Go step-by-step through the creation of a workers’ compensation MSA

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