Workers Compensation Topic

4/9/2018 - 3 min read

Proactive data management key to handling EDI reporting challenges

When IAIABC published its newest standard for workers’ compensation EDI data reporting, Release 3.1, one thing was certain—compliance would get a lot more complex.

3/2/2018 - 1 min read

WCMSA update: New WCRC takes over March 19th – webinar set for March 7th

CMS has announced that its new Workers Compensation Review Contractor, Capitol Bridge, LLC will assume WCRC responsibilities on March 19, 2018. CMS is holding a transition webinar on March 7, 2018 at 1:00 p.m. EST to address this new change.

2/28/2018 - 7 min read

Medicare watch list: Staying ahead of the Medicare Secondary Payer compliance curve

As another new year settles in, we know at least one thing is certain: MSP compliance will continue to present formidable challenges for claims payers.

1/29/2018 - 2 min read

Changes on the horizon for workers’ compensation claims with IAIABC EDI Release 3.1

A growing number of states have chosen to implement a more efficient, paperless claims-reporting process by using the IAIABC workers’ comp EDI Standard for first reports of injury and subsequent reports of injury. The newest version of these standards is the IAIABC EDI Release 3.1, scheduled to be implemented September 2018.

12/15/2017 - 1 min read

GAO denies WCRC bid protests

In response to CMS awarding the WCRC bid to Capitol Bridge, LLC, KEN Consulting Inc. and Arch System, LLC filed formal bid protests with the Government Accountability Office (GAO) challenging this decision.

12/4/2017 - 1 min read

CMS maintains its $750 low dollar threshold for 2018

CMS has announced that it is maintaining the current $750.00 low dollar threshold in 2018 for certain settlement, judgments, awards or other payments.

11/28/2017 - 5 min read

From seed to smoke: Working under the influence

We discuss some considerations related to marijuana use and employment-related issues, including workers’ compensation.

11/20/2017 - 4 min read

The CMS WCMSA "Amended Review process" - New opportunity to reduce WCMSA allocations and settle claims

For years, the Centers for Medicare and Medicaid Services (CMS) has refused to consider medical evidence postdating the original submission date of a Workers’ Compensation Medicare Set-Aside (WCMSA) proposal.

11/20/2017 - 3 min read

Mind the gap: Filling the experience void in claims settlements

Today, less than a third of the current insurance workforce is under 35 years old, and it’s predicted that more than a quarter of insurance professionals will be approaching retirement in the next few years.

9/26/2017 - 6 min read

Countdown to “full and final” settlements: Arizona S.B. 1332

The recent passage of Arizona Senate Bill (S.B.) 1332 provides Arizona claims payers with unprecedented opportunity to close out their workers' comp claims.

9/26/2017 - 2 min read

Integrating for excellence: ISO Workers’ Compensation Solutions now part of ISO Claims Partners

ISO Claims Partners & ISO Workers' Compensation Solutions have joined forces. We're looking forward to opportunities to combine our industry insights.

9/6/2017 - 1 min read

What’s next for the WCRC? New contract awarded to Capitol Bridge, LLC

On September 1 2017, CMS finally announced that the Workers' Compensation Review Contractor contract has been awarded to Capitol Bridge, LLC.

7/17/2017 - 1 min read

Opana ER will be removed from the marketplace

Opana ER will be voluntarily removed from the marketplace, per the announcement last week of manufacturer Endo International plc.

7/10/2017 - 3 min read

From seed to smoke: Marijuana concentrates and manufacturing risk

Marijuana concentrates are exactly what they sound like: products that contain concentrated dosages of the cannabinoids found in marijuana plants.

6/26/2017 - 2 min read

FDA request to remove Opana ER may be good news for WCMSAs

The fight against opioids continues, as the U.S. Food and Drug Administration recently announced they want painkiller Opana ER off the market. If removed, learn how it will affect Workers’ Compensation Medicare Set-Aside processes.