So your Claimant was injured by the negligence of some third party and you are paying workers’ compensation benefits.  What can you do to protect your subrogation rights?

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. 

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.”

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.

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.

Having revolutionized how we look at everything from baseball, elections to meteorology, it was only a matter of time before predictive analytics were utilized to better manage workers’ compensation claims.

The Medicare Secondary Payer (MSP) Act provides that Medicare will make conditional payments for medical services when a primary plan has not made, or cannot reasonably be expected to make, payments for those services.