Hear what our attorneys are saying

16
Jul 2019

Medicare Part D Coverage for Opioids and the MSA

By Rasa Fumagalli     

  A Medicare Set-Aside (MSA) is a settlement tool used by parties to prevent a cost shift of future injury-related Medicare covered expenses to Medicare when the settlement terms close out liability for future medical. The MSA will generally include projections for future injury-related medical treatment and prescription drugs that are covered by Medicare. Since
Read the full article…

Read More
11
Jun 2019

Viable Fraud Claims in Workers’ Compensation Claims

By Adam Cox     

  Section 25.5 of the Illinois Workers’ Compensation Act (820 ILCS 305/25.5) governs workers’ compensation fraud in Illinois.  It sets forth nine specific circumstances in which any person, company, corporation, insurance carrier, healthcare provider, or any other entity could violate the law.  These include: making or presenting a false claim for benefits, any false or
Read the full article…

Read More
03
Jun 2019

Temporary Transitional Employment: A New Decision and Alternative Approach

By Robert Delaney     

  It is well recognized in the disability and healthcare literature that the longer amount of time an injured employee stays off work, the lower the chances are for a successful recovery and return to work. In order to limit the amount of lost time and facilitate recovery to regular work, employers who have limited
Read the full article…

Read More
31
May 2019

Setting Reserves in the Wake of the Appellate Court Decision in Pisano

By Micaela Cassidy     

  On December 7, 2018, the Appellate Court of Illinois issued a Decision in William Pisano v. The Illinois Workers’ Compensation Commission (City of Chicago), 2018 IL App (1st) 172712WC, which sheds further light on awards for permanent partial disability in cases where multiple accidents and injuries are at issue, and a wage loss results
Read the full article…

Read More
30
May 2019

IWCC Medical Fee Advisory Board Proposes Rules Defining “Explanation of Benefits”

By Joseph Gregorio     

  On May 20, 2019, the Illinois Workers’ Compensation Medical Fee Advisory Board announced a Proposed Amendment to the Workers’ Compensation Commission’s Administrative Rules.  The proposed rules will help employers and providers navigate some of the changes implemented to the medical bill processes implemented last year by Senate Bill 904. In November 2018, Public Act
Read the full article…

Read More