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Industry Insights

 

Aoudi: Does Great Video Evidence Need to Be Disclosed Prior to Depos? 06/24/2019
By: Dana F. Aoudi
State: CA | Segment: Top | 1
Although applicants' attorneys may be entitled to discover sub rosa video that could poke holes in an applicant’s story, defendants need not provide the films prior to the deposition, according to a 1989 panel decision. ...Read More
 
 

Anders: MSA Amended Reviews Promote Case Closures 06/04/2019
By: Dan Anders
State: NA | Segment: Top | 0
Two years ago, the Centers for Medicare and Medicaid Services rolled out a policy that enabled submission of a new Medicare set-aside even if an MSA had previously been approved for the same date of injury. ...Read More
 
 

Anders: 'Lead, not Follow' Approach Yields Compliant, Cost-Effective MSAs 05/13/2019
Source: Dan Anders
State: NA | Segment: Top | 0
Just like all of us, the Centers for Medicare and Medicaid Services makes occasional errors. Believe it or not, the government is not infallible. ...Read More
 
 

Anders: April 1 Brings Electronic Payment Option to MSPRP 03/18/2019
By: Dan Anders
State: NA | Segment: Top | 0
In a March 13 webinar, the Centers for Medicare and Medicaid Services provided a high-level overview of the electronic payment option to be added to the Medicare Secondary Payer Recovery Portal (MSPRP) effective April 1. ...Read More
 
 

Anders: New Year Brings New Enhancements to MSPRP 01/16/2019
By: Daniel Anders
State: NA | Segment: Top | 0
Over the past year, the Centers for Medicare and Medicaid Services has been enhancing its web-based Medicare Secondary Recovery Portal, which has improved its usefulness in identifying and resolving Medicare conditional payments. ...Read More
 
 

Anders: Apparent Change in CMS Policy Expands Inclusion of Lyrica in MSAs 11/05/2018
Source: Dan Anders
State: NA | Segment: Top | 0
Lyrica is a brand name-only medication that costs $8.91 per pill at 150 milligrams. Over a 20-year life expectancy, this is close to $200,000 in an Medicare set-aside allocation. ...Read More
 
 
Are Injuries Sustained While Driving From AME Exam Compensable? 01/19/2018
By: Gregory Grinberg
State: CA | Segment: Top | 1
Minarik v. Del Taco is a somewhat recent panel decision, and now writ-denied claim, in which a workers' compensation judge and the Workers' Compensation Appeals Board held that injuries sustained en route to an agreed medical evaluator exam on an accepted case were compensa...Read More
 
 

Alves: The Six-Month Rule 11/30/2017
By: Farai M. Alves
State: CA | Segment: Top | 0 | Popular with Legal
This article addresses the infamous six-month rule, what exactly the rule is, how far it can be taken and how to stop it from being taken too far. It is not the purpose of this article to delve into whether, and to what extent, a psyche claim can still be alleged post-January 2013. ...Read More
 
 

Anders: Accurate Section 111 Reporting of ORM Vital to Avoiding Repayment Demands 07/27/2017
By: Dan Anders
State: NA | Segment: Top | 0
While the Commercial Repayment Center (CRC) has faced some valid criticism over the past year and a half over its recovery efforts on behalf of the Centers for Medicare and Medicaid Services (CMS), not all problems start with the CRC. CRC’s recovery efforts are driven by the data ...Read More
 
 

Anders: MSAs, Professional Administration Provide Much Needed Assurances 03/21/2017
By: Daniel Anders
State: NA | Segment: Top | 0
These first few of months of 2017 have been, to put it mildly, volatile in national politics. ...Read More
 
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