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.
Archives
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 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.”
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.
The Private Cause of Action provision of the Medicare Secondary Payer Act (MSP) (42 U.S.C. Section 1395 y(b)(3)A) remained the focus of much of the MSP litigation in 2018.
In February, 2018, Performant Financial Corporation (parent organization of Performant Recovery, Inc. “Performant”) replaced CGI Federal as the lead contractor in the Commercial Repayment Center (“CRC”) operations.
The Centers for Medicare and Medicaid Services (CMS) is tasked with approving future medical plans in settlements for workers’ compensation claims of Medicare beneficiaries or those who will soon become Medicare eligible.
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.