Hear what our attorneys are saying

27
Dec 2018

Evidence-Based Medicine and the MSA

By Rasa Fumagalli     

  Workers’ compensation and personal injury claims adjusters and attorneys spend a great deal of time analyzing medical records in connection with their cases. The most frequently scrutinized areas involve medical/legal causation, the reasonableness of medical treatment as well as the cost and likelihood of future injury related medical treatment. The workers’ compensation laws of
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14
Dec 2018

The Five Percent Rule and the Review

By Rasa Fumagalli     

  Most workers’ compensation practitioners and claims handlers know that the Workers’ Compensation Review Contractor (WCRC) for the Centers for Medicare and Medicaid Services (CMS) conducts an independent review of Workers’ Compensation Medicare Set-Aside proposal submissions. The Workers’ Compensation Medicare Set-Aside Arrangement (WCMSA) Reference Guide (Version 2.8) outlines the WCRC medical review process. Should the
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10
Dec 2018

Technologies in Workers’ Compensation: Telehealth

By Vinal Patel     

  The rising use of telehealth has made its way into the workers’ compensation arena thanks to possible cost-saving strategies along with effective delivery of care. Telehealth refers to the use of telecommunications technologies for the delivery of clinical health care, patient and professional health-related education, and public health and health administration.[1] Through telehealth technologies,
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28
Nov 2018

LEGISLATIVE ALERT – Paying IL WC Medical Bills Quickly is in Your Best “Interest”

By Padraig McCoid     

  On November 27, 2018, the Illinois House of Representatives overrode Governor Rauner’s veto of SB904.  The bill is effective immediately. SB904 requires employers and insurers to pay interest to medical providers at 1% per month, allows providers to bring a cause of action in circuit court to collect interest, requires employers and insurers to
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01
Nov 2018

Answers by Amy

By Amy Bilton     

  Question:  How much does the Medicare Secondary Payer program really impact the Medicare program?  Does it really make it more likely that Medicare will be around when I am old enough to qualify for this entitlement program? CMS’ most recent Financial Report claimed the Medicare Secondary Payer (MSP) program saved the Medicare Trust Funds
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