Meeting Archive:
Not a Piece of Cake - CMS views on Utilization Reviews, Med-Legals and Hearings on the Merit

Meeting Description:

From a claims perspective URs, med-legals and hearings on the merits help to mitigate diagnosis creep and manage benefits paid out, but not all are equal in the eyes of CMS. We will consider how each tool is viewed by CMS and how to use them to your advantage in reducing your MSA.

Dial-In Number(s): * 
Access Code:   4605043
Date: Tue, Jul 21, 2020
Time: 02:00 PM EDT
Duration: 30 minutes
Host(s): Bridget Smith, JD; Jennifer M. Shymanski, JD, CMSP-F
 Presenter Information
Bridget Smith, JD
Speaker Photo

Bridget is NuQuest’s VP of Compliance and Customer Relations. Prior to joining NuQuest, Ms. Smith received her undergraduate Political Science Degree from Gannon University and received her Master of Arts and Juris Doctorate degrees from Duquesne University. She thereafter served as a judicial clerk for the Hon. Dante Pellegrini, President Judge of the Commonwealth Court of Pennsylvania. Ms. Smith went on to practice as a shareholder at a top Pittsburgh law firm serving as Vice-Chair of the Medicare Compliance Group. She concentrated her practice in the area of Medicare compliance as well as workers’ compensation litigation, medical malpractice, and general insurance defense. Ms. Smith also served as a Medicare compliance attorney and shareholder for a national defense firm and worked as in-house counsel for a leading Pittsburgh health facility.

Jennifer Shymanski, JD, CMSP
Speaker Photo

Jennifer is NuQuest’s Director of Implementation and Strategy. She holds a law degree from Northern Illinois University College of Law and a Bachelor of Arts in Political Science from the University of Wisconsin – Stevens Point.  She is admitted to practice law in the State of Wisconsin.  Prior to joining NuQuest in March of 2010, she spent over ten years at Nationwide Insurance working with both workers compensation and personal liability claims teams.

As Director of Implementation and Strategy, Jennifer utilizes her extensive experience in claim handling and negotiation to work with clients in choosing the correct products and services to address their particular Medicare Secondary Payer Compliance issues.  Jennifer’s focus is on assisting clients in designing their MSP compliance programs including training and implementation of those programs.  She frequently attends file conferences and provides continuing education presentations.