LITIGATION AND BILLING PROCEDURES A N N C O S P ER , A S S IS TA - - PDF document

12/15/2016 1

A N N C O S P ER , A S S IS TA N T LITIG A TIO N C O UN S EL N C S B T D EFEN S E C O UN S EL M EETIN G D EC EM B ER 1 5 , 2 0 1 6

LITIGATION AND BILLING PROCEDURES

CASE ASSIGNMENTS AND REPORTING

• “No n-c o nflic t c o nflic ts”
• Re po rting re q uire me nts/ re insura nc e re po rting

re q uire me nts

• Pla n o f Ac tio n:* within 90 days o f c a se a ssig nme nt
• Qua rte rly re po rt:* try to limit to 10 pa g e s
• Po int o ut wha t’ s ne w
• K

e e p fa c ts if po ssib le

• Pre -me dia tio n re po rt:* 60 days b e fo re
• Na rro w se ttle me nt ra ng e
• De fe nse c o sts
• Pre -tria l re po rt:* 90 days b e fo re

12/15/2016 2

FILE DOCUMENTATION

• Ple a ding s a nd mo tio ns
• Brie fs
• Brie f ba nk
• Re le a se s
• L

e t us re vie w b e fo re ha nd.

• Da te s
• Me dia tio n da te s—run

the se b y us

• He a ring / tria l da te s
• Disc o ve ry
• Re spo nse s: Brie f

summa ry a nd analysis

• Re q ue sts: L

BPs re q uire tha t yo u g ive us 25 da ys to re vie w re q ue sts tha t we ne e d to we ig h in o n

• Cla ims que stio ns
• I

nc ide nt lists

• Co rre spo nde nc e
• Who to a sk
• I

nsuranc e que stio ns

• Sta nda rd re spo nse s

LITIGATION PROCEDURES

• Re q ue st fo r Sta te me nt o f

Mo ne ta ry Re lie f So ug ht

• Wha t a re we de a ling

with?

• Who are we de aling with?
• I

mmunity issue s

• Re insuranc e issue s
• Dispo sitive mo tio ns o n

immunity

• Addre ssing the ne e d to

e duc ate

• $150k o r le ss
• Ab o ve $1 millio n
• $850 in re insura nc e
• Po ssibility fo r stipulatio ns
• Stra te g y fo r me dia tio n
• Re se a rc h
• Co nside r brie f bank.
• Ca se law o n Guide bo o k
• Re c e nt c ase s

12/15/2016 3

MEDIATION AND SETTLEMENT

• Re c o mme nde d se ttle me nt ra ng e
• Ne e ds to b e na rro w
• Co nsult Cla im Se ttle me nt Pra c tic e s*
• T

ake immunity into ac c o unt.

• Co nflic ts in me diatio n
• Co nside r Do bro wo lska*-type c la ims a nd pre c e de nt-se tting .
• Sc he duling me dia tio n
• Run da te s b y us a s so o n a s po ssib le .
• Run me dia to r na me s b y us b e fo re de sig na ting —e ve n if we ’ ve use d the

me dia to r b e fo re .

• Struc ture d se ttle me nts: Struc ture c o mpa ny must b e a ppro ve d b e fo re ha nd
• Se ttle me nt c he c ks
• 15-21 da ys to pro c e ss c he c ks
• U

p to 30 fo r la rg e se ttle me nts

• Co uld b e lo ng e r whe n de a ling with re insure r

BILLING

• Wha t sho uld b e b ille d to the Bo a rd vs. wha t sho uld b e

b ille d to NCSBT .

• Administra tive pro c e e ding s
• BL

OCK BI L L I NG

• Wha t is it?
• Bill fo r e a c h individua l ta sk
• Who
• Wha t
• Why
• Ho w is this g o ing to furthe r the litig a tio n stra te g y?
• Va g ue de sc riptio ns a re no t a c c e pta b le .

12/15/2016 4

MEDICARE REPORTING

• Are the c la ima nts Me dic a re b e ne fic ia rie s?
• Ge t the ir SSNs, DOBs ASAP.
• Re c o rds
• Pla intiffs’ c o unse l
• Disc o ve ry re q ue sts
• I

f Me dic a re b e ne fic ia ry: We re po rt the c la im to Me dic a re .

• Ha s Pla intiffs’ Co unse l re po rte d the c la im to Me dic a re ?
• I

t’ s e asie r fo r the m to do it than fo r us to do it.

• Use r-frie ndly re c o ve ry po rta l

MEDICARE RECOVERY

• Ge t upda te d c o nditio na l pa yme nt a mo unts thro ug ho ut the life
• f the c a se .
• Go into me dia tio n with up-to -da te numb e rs.
• Sa mple re le a se la ng ua g e *
• Pla intiff is/ is no t a Me dic a re b e ne fic ia ry.
• Re lia nc e o n re pre se nta tio ns re : c o nditio na l pa yme nt lie n
• Sta tus o f c o mmunic a tio n with Me dic a re
• I

nde mnific a tio n pro visio n

• Co nside r Me dic a re ’ s future inte re st: I

f no MSA, why no t?

• F

ina l se ttle me nt re po rte d to Me dic a re

• Pla intiff’ s Co unse l to ho ld mo st re c e nt c o nditio na l pa yme nt

a mo unt in trust.

• Pro vide c a se c lo sure le tte r to yo u imme dia te ly.

12/15/2016 5

QUESTION & ANSWER