While development letters (CMS letters asking for additional information for a submitted MSA) have slowed over the last several months, we are still seeing them, nonetheless.  We also are hearing from clients that they have old cases which seem “stuck” because CMS is asking for additional medical records that do not exist, or which
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  Attorney William Lowry recently wrote about workers’ compensation insurance considerations when Illinois employees are working abroad.  The blog post may be found here.  This blog will look at situations involving tangential issues, i.e. workers’ compensation settlements with future medical allocations or Medicare Set-Asides (MSAs) that will be spent overseas. Although most workers’ compensation settlement
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  For those of us who have been doing Medicare Set-Asides for over a decade, CMS’ pricing of prescription drugs has been a difficult pill to swallow.  Initially, we as an industry priced prescription drugs in a variety of ways: based on actual cost; using mail-order pharmacy prices; or sometimes even using prices from other
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  Approval of Workers’ Compensation Medicare Set-Asides (WCMSA) by the Centers for Medicare and Medicaid Services (CMS) remains the “gold standard.”  WCMSA funds, first approved by CMS and then properly exhausted, guarantee Medicare will take over as primary payer for further treatment costs.  And while submission of a WCMSA to CMS for approval is voluntary,
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  On April 21, 2020, the Illinois Manufacturers’ Association (IMA) and Illinois Retail Merchants Association (IRMA) filed case 2020 CH 000098 in the Circuit Court of Sangamon County. It consisted of a Verified Complaint and Motion for a Temporary Restraining Order (TRO) and Preliminary Injunction against the Illinois Workers’ Compensation Commission (IWCC) and the Chairman
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