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

12/15/2016 LITIGATION AND BILLING PROCEDURES 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 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 1

12/15/2016 FILE DOCUMENTATION • Ple a ding s a nd mo tio ns • Disc o ve ry • Brie fs • Re spo nse s: Brie f summa ry a nd analysis • Brie f ba nk • Re q ue sts: L BPs re q uire • Re le a se s tha t yo u g ive us 25 da ys • L to re vie w re q ue sts tha t e t us re vie w we ne e d to we ig h in o n b e fo re ha nd. • Cla ims que stio ns • Da te s • I nc ide nt lists • Me dia tio n da te s—run • Co rre spo nde nc e the se b y us • Who to a sk • He a ring / tria l da te s • I nsuranc e que stio ns • Sta nda rd re spo nse s LITIGATION PROCEDURES • Dispo sitive mo tio ns o n • Re q ue st fo r Sta te me nt o f immunity Mo ne ta ry Re lie f So ug ht • Addre ssing the ne e d to • Wha t a re we de a ling e duc ate with? • $150k o r le ss • Who are we de aling with? • Ab o ve $1 millio n • I mmunity issue s • $850 in re insura nc e • Re insuranc e issue s • 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 2

12/15/2016 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 . 3

12/15/2016 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 o 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. 4

12/15/2016 QUESTION & ANSWER 5