Industry Insights
| More on Nurse Case Manager Selection | 01/03/2014 | ||
| State: CA | Segment: | 0 | |||
| Nothing ruins a Friday for a cold-hearted workers’ compensation defense attorney more than having to side with the arguments of an applicant. Well, probably a few things could make a Friday worse (like realizing that it’s only Thursday), but that’s one of the bad ones. So it is, as...Read More | |||
| Myths about Obamacare and Workers' Comp | 11/25/2013 | ||
| State: NA | Segment: | 0 | |||
| The Obama administration has said that the Patient Protection and Affordable Care Act, enacted into law in 2010 and scheduled to take effect on Jan. 1, will reduce workers’ comp claims because so many additional people will be covered under personal insurance policies. But there is reason to t...Read More | |||
| Medicare May Seek Upfront Reimbursement of Conditional Payments | 09/20/2013 | ||
| By: Heather Schwartz | |||
| State: NA | Segment: | 0 | |||
| Some of us in the industry may remember an interesting case back from May of 2011 where a class of Medicare beneficiaries successfully obtained an injunction against the Centers for Medicare and Medicaid Services (CMS) for certain conditional payment reimbursement practices. The two conditional paym...Read More | |||
| Must the Adjuster Ask for Settlement Authority from the Insured? | 09/04/2013 | ||
| By: James J. Moore | |||
| State: NA | Segment: | 0 | |||
| One of the most repeated comments we hear when reviewing claims-loss runs is an adjuster settled or agreed to accept a file without the insured agreeing to the settlement. We often hear that an adjuster increased the reserves to a very high level without consulting the employer.Almost al...Read More | |||
| Medicare-Based Fee Schedules and Work Comp | 07/30/2013 | ||
| By: Joe Paduda | |||
| State: NA | Segment: | 0 | |||
| Medicare bases the physician fee schedule, known as the Resource-Based Relative Value Scale, on estimates of how much time it takes docs to do specific things, plus their operating expenses adjusted for regional cost factors. That’s a gross oversimplification but close enough (more on the deta...Read More | |||
| Medicare Secondary Payer Act Compliance: A WCEC Session Preview | 07/16/2013 | ||
| By: Workers Compensation Institute | |||
| State: NA | Segment: | 0 | |||
| Editor’s Note: The 68th annual Workers' Compensation Educational Conference (WCEC) will be held Aug. 18-21 at the Orlando World Center Marriott. This article is pa...Read More | |||
| Major Government Entities still Need WC Defense Reform | 05/14/2013 | ||
| By: Eugene Keefe | |||
| State: IL | Segment: | 0 | |||
| From our perspective in the trenches, the Illinois Workers' Compensation Commission and its component players have greatly improved their administrative functions. We are confident the implementation of the workers' compensation preferred provider program concept is going to dramatically cut...Read More | |||
| May Case Law Update | 05/10/2013 | ||
| State: CA | Segment: | 0 | Popular with Legal | |||
| The following is a summary of important updates to California workers' compensation law.JURISDICTION AND SUBROGATIONIn Hyder v. St. Louis Rams, 2013 Cal. Wrk. Comp. P.D. LEXIS 56, the WCAB held that it did not have jurisdiction over a professional football player...Read More | |||
| Medical Treatment Guidelines: Evidence v. Consensus | 04/19/2013 | ||
| State: TN | Segment: | 0 | |||
| Senate Bill 200 is all but signed into law in Tennessee. The bill brings broad reform measures to the state, some of which were desperately needed (e.g., the creation of an administrative dispute resolution system that will largely relieve the civil courts of the burden of work comp fights) and some...Read More | |||
| Medical Marijuana and Ariz. Workers' Compensation | 04/17/2013 | ||
| By: Rachel Brozina | |||
| State: AZ | Segment: | 0 | |||
| Arizona voters passed the Arizona Medical Marijuana Act in November 2010, and since then, the Arizona Department of Health Services has developed a medical marijuana program to administer the certification of qualifying patients and license the dispensaries. The first dispensary was opened in Decemb...Read More | |||
