Tawina Earle

1. Supporting the Chief and Assistant Medicare Compliance and Recovery Officers by monitoring all high-risk cases involving Medicare beneficiaries to ensure federal Medicare statutes regarding recovery and reimbursement of Medicare claims are strictly followed;

2. Following-up with plaintiffs’ counsel to obtain CMS documentation;

3. Inputting conditional payment information into Law Manager and scan all CMS documentation into OAISIS;

4. Maintaining the Medicare workspace/file site;

5. Generating MSA, MAP and hold letters related to settlements involving Medicare Beneficiaries;

6. Reviewing the MSPRP and MAP portals for Medicare claim and MAP provider lien information;

7. Obtaining Acknowledgement of Full Payment (AFP) on each cases involving a Medicare claim in order to ensure claim has been closed;

8. Reviewing correspondence and discovery responses related to Medicare and make appropriate data entries into Law Manager;

9. Attending meetings and/or webinars addressing Medicare compliance and recovery issues;

10. Generating runs or other statistical data on Medicare-related cases and/or issues as they arise;

11. Assisting in the handling of data entry for SF, TT and any other Division as needed and as related to Medicare protocols;

12. Interfacing/liaising regularly with Litigation Support/Practice Management (LM) team regarding data entry and Medicare reporting, including but not limited to:

a. reviewing Entity records with incomplete PII data and updating same so that records will be included in monthly Medicare Query Interface to CMS;

b. reviewing Entity records where CMS noted different names and updating same;

c. reviewing Entity records where CMS updated DOB and following-up with Division staff;

d. reviewing Matters with Medicare-beneficiaries and starting Medicare Claim records if none exists;

e. reviewing Medicare Claim records with exceptions and updating same so that records will be included in quarterly Medicare Claims Interface to CMS;

f. running regular monthly queries to review accuracy of data entry on Medicare Claim records;

g. identifying any defects or issues with regard to data entry and Medicare reporting and troubleshoot as needed to resolve same

h. generating monthly query reports for the Medicare Watch List.

1.Draft Request for legal assistance for city employees who are being sued.
2.Liaison with other City Agencies Legal Department to make sure that their workers, submit a Request for 3.Legal assistant within a timely manner to avoid a motion for default.
4.Work personally with Five(5) Assistant Corporation Counsels within the Early Intervention Unit who sole purpose is to represent city employees at no cost to them.
5.Work within the Pleadings Unit as a Part-Time Claims Specialist,carefully analyze personal injury claims brought against the city of New York.
6Review relevant notice of claim, 50-H transcripts, comptroller office abstracts and property ownership information for each claim.
7.Determine appropriate responses to each allegation raised in response to the compliant for each claim.
8.Determine which motions for dismissal should be reviewed by Borough attorneys.
9.Schedule appointments using Law Manager and CACS to contact other city agencies such as the New York Police Department, Department Of Sanitation, Department Of Education and the Fire Department of New York for their employees to appear for interviews.