Workers’ Compensation
Workers’ Compensation Medicare Set Aside Legislation Filed, Referred to Committee
On June 18, 2018, Senators Rob Portman (R-OH) and Bill Nelson (D-FL) introduced legislation aimed at reforming the Centers for Medicare and Medicaid Services’ (CMS)…
Analyze this: Why workers’ comp data gives insurers a strategic advantage
Data analytics has become a key driver in the development of business strategy for leading corporations, and workers’ compensation insurers are uniquely positioned to…
Arizona tweaks its "full & final" workers' comp settlement law - New law provides opportunities to settle workers' comp claims
Arizona Senate Bill 1100 provides unprecedented opportunities to settle workers' compensation claims in the state.
Five steps to reduce your WCMSA costs
It is no secret that high Workers’ Compensation Medicare Set Aside (WCMSA) allocation amounts can complicate claim settlement.
New Kentucky workers’ compensation law limits treatment to 780 weeks for certain claims
On March 30, 2018, Kentucky House Bill (HB-2) was signed into law which makes major changes to the Kentucky workers’ compensation statute.
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.
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…
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.
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…
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…
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.
From seed to smoke: Working under the influence
We discuss some considerations related to marijuana use and employment-related issues, including workers’ compensation.
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’…
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…
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.