Medicare is a secondary payer when a primary payer is available and has a demonstrated responsibility to make payment.
Category: Blog
Medicare exposure can be significantly impacted by claim decisions made early in the handling of a workers’ compensation case.
This Ask Amy topic comes from one of my workers’ compensation cases.
It’s important to recall the Illinois Workers’ Compensation Act generally provides a triad of benefits for an injured worker.
Today, CMS announced two town hall meetings taking place on January 14, 2020, to discuss topics related to recovery processes of the Commercial Repayment Center (CRC), the branch of CRC responsible for collecting reimbursement of Medicare conditional payments from insurance carriers and self-insured entities.
Being surveilled is unsettling, but the ordinary life of a Petitioner is a fascinating area of workers’ compensation and can have a significant impact at any trial.
The Centers for Medicare and Medicaid Services (CMS) just published version 3.0 of their Workers’ Compensation Medicare Set-Aside (WCMSA) Reference Guide.
The act of manually turning a key or using a screwdriver does not require an incredible amount of force.
I received several calls in the last couple of months, mainly from Claimants’ attorneys, asking if I know anything about “evidence-based MSAs.”
In what appears to be a trend lately, we are seeing more instances of cases where The Centers for Medicare and Medicaid Services (CMS) is referring older claims (often thought by the adjuster to have been closed long ago) to the United States Treasury for collection.