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 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.

On November 27, 2018, the Illinois House of Representatives overrode Governor Rauner’s veto of SB904.

Welcome to the Fall 2018 edition of the Medicare Secondary Payer Compliance Corner.

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?

Nyhan, Bambrick, Kinzie & Lory attended the annual NAMSAP (National Alliance of Medicare Set-Aside Professionals) Conference.

In response to the question whether the Medicare Secondary Payer statute preempted the state’s automobile no fault law, the State of Florida Third District Court of Appeal responded with an emphatic No!

The Medicare Secondary Payer Act provides that Medicare is a Secondary Payer when a primary payer has responsibility for payment.

You may have asked that question lately. In the management of workers’ compensation claims, Utilization Review (UR) provides a process whereby proposed treatment is assessed for medical necessity and reasonableness.

As we move further away from 9/11, it is apparent that the list of health conditions related to the toxic chemical exposures at the devastation sites is growing.