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Industry Insights

 

Addington: Hello, Is It Me You're Looking For? 10/28/2021
By: Brian Addington
State: TN | Segment: Top | 0
No, I’m not Lionel Richie. Just your local workers’ compensation judge. ...Read More
 
 

Anders: Updated CMS Policy Changes Medicare Set-Aside Seed Calculation 05/03/2021
By: Dan Anders
State: NA | Segment: Top | 0
On April 19, the Centers for Medicare and Medicaid Services (CMS) released an updated Workers’ Compensation Medicare Set-Aside (WCMSA) Reference Guide, Version 3.3, which made a slight but notable addition to how the MSA seed amount is calculated. ...Read More
 
 

Alves: Lifetime Jurisdiction: Not Just for Asbestosis 04/19/2021
By: Ryan T. Alves
State: CA | Segment: Top | 0
Most professionals working within the California workers’ compensation system for any period of time are familiar with the fact that asbestos claims may continue well beyond the usual five years, after which the WCAB will typically lose jurisdiction. ...Read More
 
 

Anders: CMS Releases Technical Updates to Section 111 User Guide 01/27/2021
By: Dan Anders
State: NA | Segment: Top | 0
The Centers for Medicare and Medicaid Services has begun the new year with some updates to its MMSEA Section 111 NGHP User Guide. This guide provides everything and anything you ever wanted to know about mandatory insurer reporting by non-group health plans.  ...Read More
 
 

Anders: Celebrex, Abilify Price Drops Trigger MSA Reductions 12/15/2020
By: Daniel Anders
State: NA | Segment: Top | 0
Recently, the lowest average wholesale price of 200 milligram Celebrex and the price of multiple strengths of Abilify dropped dramatically, resulting in major cost savings to Medicare set-aside allocations. ...Read More
 
 
Anders: November CMS Mandatory Reporting and Conditional Payment Updates 11/30/2020
By: Dan Anders
State: NA | Segment: Top | 0
Medicare Conditional Payment Appeals Guide In follow-up to its September 2020 webinar on Medicare conditional payment appeals through the Commercial Repayment Center (CRC), CMS converted the slides into an appeals guide. The guide, which can be found ...Read More
 
 

Anders: CMS Rolls Out Updates to User Guide 10/23/2020
By: Dan Anders
State: NA | Segment: Top | 0
Earlier this month, the Centers for Medicare and Medicaid released an updated MMSEA Section 111 Medicare Secondary Payer Mandatory Reporting User Guide (Version 6.0).  Here are the key updates with analysis and practical implications. ...Read More
 
 

Anders: CMS Provides Notices on Section 111 Reporting, Conditional Payment Processes 06/18/2020
By: Dan Anders
State: NA | Segment: Top | 0
The Centers for Medicare and Medicaid Services has recently issued two notices, one pertaining to Section 111 mandatory insurer reporting and one relevant to Medicare conditional payment recovery. ...Read More
 
 

Anders: Federal Court Rules on Plaintiff's Refusal to Provide SSN 05/20/2020
By: Dan Anders
State: NA | Segment: Top | 0
A federal magistrate judge got a full education in Section 111 mandatory insurer reporting when a plaintiff refused to provide his Social Security number in a liability settlement with the State of Rhode Island. ...Read More
 
 

Addington: Leap Day Can Be Dangerous 02/20/2020
Source: Brian Addington
State: TN | Segment: Top | 0
One of Tennessee’s most talented actresses was Dinah Shore. Born in Winchester, Tennessee, in 1916 and a Vanderbilt graduate, she went on to fame as a singer and radio, TV and film actress. She was also a huge supporter of the LPGA and was named an honorary member of the LPGA Hall of Fame....Read More
 
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