It’s no secret there is an opioid crisis in this country. Millions of Americans – including injured workers - are prescribed opiate pain medications. Seen as an effective substitute for such drugs, many individual states have legalized the use of medical marijuana.

Since 2011, Section 8.2(d) of the Illinois Workers’ Compensation Act has held that undisputed bills must be paid within 30 days of receipt of a complete bill. 

Please join Nyhan Bambrick Kinzie & Lowry in congratulating Amy Bilton on her election as the President of the National Alliance of Medicare Set-Aside Professionals (NAMSAP).

Like middle children, Reinstatement Motions don’t get enough attention. The general consensus is that Reinstatement Motions almost always get granted, and any fight is an exercise in futility. Cases are routinely reinstated without objection, and often get granted without a formal record.

In an Amended Review submission, CMS considered NBKL’s argument that a Claimant’s current treatment regimen changed, and that some of the pending treatment recommendations should be excluded.

Welcome to the Winter 2019 edition of the Medicare Secondary Payer Compliance Corner.

Question:  We recently learned that an injured worker is using an American citizen’s Social Security number, and that American citizen is a Medicare beneficiary.  The worker using that Social Security number is technically undocumented, however, and is 64 years old.  What do I need to do in my settlement to remain in compliance with the Medicare Secondary Payer Act?

In the fall of 2018, the Department of Health & Human Services/CMS published an abstract of a proposed rule entitled “Miscellaneous Medicare Secondary Payer Clarifications and Updates.”

As of January 1, 2019, Medicare Part D prescription drug plans began implementing a three part plan to help combat the nation’s opioid epidemic.

On January 4, 2019, CMS released its updated Non-Group Health Plan User Guide Version 5.5 detailing changes made to Section 111 of the Medicare, Medicaid, and SCHIP Extension Act of 2007.