Author: Richard Bays, JD, MBA, RN, LNCC
Target Audience: RNs interested in learning more about legal nurse consulting and LNC role in medical bill review and Medicare set-asides
Description/Purpose: Participation in this online module will increase the learner’s knowledge on the LNC role in medical bill review and Medicare Set-Asides.
Learning Objectives:
· Identify the three typical objectives of conducting medical bill review and describe areas with potential for fraud and abuse
· Identify the components of a Medicare Set-Aside and discuss the legalities that infer the need for a Medicare Set-Aside in an insurance settlement
· Discuss the WCMSA submission process and post-settlement obligations
· Discuss how Medicare benefit determinations may ultimately determine the adequacy of Medicare Set-Asides
Continuing Education: The American Association of Legal Nurse Consultants is accredited as a provider of continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation.
Contact Hours: 1.5
Expiration Date: November 15, 2026
Successful Completion:
- Complete individual module and activities
- Obtain a score of at least 80% on the module post-test
- Complete the online course evaluation and attestation of completion
Price:
- Member: $83
- Non-member: $165