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Industry Insights

 

Anders: CMS to Require Section 111 Reporting of WCMSA Amounts 11/17/2023
By: Dan Anders
State: NA | Segment: NATIONAL | 0
In its Nov. 13 webinar, the Centers for Medicare and Medicaid Services announced plans to require the report of a workers’ compensation Medicare set-aside amount concurrently with the report of total payment obligation to the claimant as part of Section 111 mandatory insurer reporting....Read More
 
 

Addington: Welcome, New Lawyers 11/16/2023
By: Judge Brian Addington
State: TN | Segment: SOUTH | 0
I was honored to sponsor Delanie Williams at her admission ceremony before the Tennessee Supreme Court in Knoxville last month. ...Read More
 
 

Anders: Fixed Percentage Option Available for Liability Settlements Up to $10,000 10/02/2023
By: Dan Anders
State: NA | Segment: NATIONAL | 0
The Centers for Medicare and Medicaid Services recently announced that the maximum settlement amount for use of the fixed percentage option will increase from $5,000 to $10,000, effective today. ...Read More
 
 

Addington: Some Important Reminders 09/21/2023
By: Judge Brian Addington
State: TN | Segment: SOUTH | 0
As a child, and even today, I love to read historical reminders. I used to read them in newspapers or magazines growing up, but now they abound in articles on the web and on social media. ...Read More
 
 

Anders: CMS to Provide RREs With Response File on ORM Record Changes 01/17/2023
By: Dan Anders
State: NA | Segment: Top | 0
Starting in July, responsible reporting entities (RREs) can access updates/changes that another source has made to their claims for ongoing responsibility for medicals (ORM). The Centers for Medicare and Medicaid Services (CMS) announced this in an update to its MMSEA Section 111 NGHP User G...Read More
 
 

Addington: Presumptions in Workers' Compensation 10/24/2022
By: Judge Brian Addington
State: TN | Segment: Top | 0
History buffs like me will remember the words of H.M. Stanley: “Dr. Livingstone, I presume.” ...Read More
 
 

Anders: Is CMS-Approved $0 MSA Still Possible? 08/05/2022
By: Dan Anders
State: NA | Segment: Top | 0
A common question we receive is whether a CMS-approved $0 Medicare set-aside is still possible.  The answer is, yes — if it meets the criteria. ...Read More
 
 

Anders: Working With Medicare Part C and D Plans 05/18/2022
By: Dan Anders
State: NA | Segment: Top | 0
Attendees of Tower’s Premier Webinar on April 20 received sound advice on how to work with Medicare Part C (Advantage) and D (drug benefits) plans. Our guest presenter was Brian Bargender, consultant for subrogation and third-party liability with Humana, a nationally recognized expert ...Read More
 
 

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
 
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