As the Centers for Medicare and Medicaid Services (“CMS” or “Medicare”) ratchet up their active monitoring of Medicare Set Aside (“MSA”) accounts, using a professional administrator to help make sure reporting is in order is becoming even more critical.
There is no doubt that CMS is taking compliance with the Medicare Secondary Payer Guidelines more seriously these days. Just take a look at the sequence of initiatives they have put into motion over the past several years to prevent wrongful payments from the Medicare fund – from implementing mandatory reporting to earlier recovery processes to expanding the scope of MSAs to liability and non-fault cases. (see Exhibit A for a brief timeline of Medicare’s actions)
The Workers’ Injury Law & Advocacy Group also known as WILG, is the national non-profit membership organization dedicated to representing the interests of millions of workers and their families who, each year, suffer the consequences of work-related injuries or occupational illnesses. In this podcast, Ringler Radio host Larry Cohen and co-host, Duke Wolpert talk to attorney Michael K. Gruber, President of WILG, about his mission for 2017 and what to watch for in legislation that might impact workers.
Despite women’s growing presence in the insurance industry, few have successfully broken through into leadership roles – but the women featured on the following pages prove that’s slowly changing. Nearly 20% of the 2017 Elite Women hold top CEO or leadership positions, including the first female to start an insurance provider in the US. But the list doesn’t end there – it also includes countless executive officers, division heads, agency managers and more who have overcome obstacles and broken barriers to become some of the industry’s top professionals.
RAND Corp. published its review of the (1) Technical Quality and (2) Clinical Acceptance of the Occupational Disability Guidelines (ODG) published by Work Loss Data Institute (WLDI). This paper briefly discusses the RAND report. WLDI publishes the ODG, arguably the most successful treatment guidelines in the occupational medicine space. Over 100,000 users support the platform. Continually updated, ODG incorporates over 10,000 ICD-9 codes, 65,000 ICD-10 codes, and 10,000 CPT codes
Workers’ comp industry optimists expect that President Trump’s economic policies will help propel additional insurer premium volume growth through 2017 and even beyond. Recent growth in employment and wages are expected to generate billions in new workers’ comp premiums written. Factors like lower business taxes, reduced regulatory burdens and shifts in trade policy espoused by the president could fuel further growth.
Author Michael Stack, Principal, Amaxx LLC. He is an expert in workers compensation cost containment systems and helps employers reduce their work comp costs by 20% to 50%. He works as a consultant to large and mid-market clients, is co-author of Your Ultimate Guide To Mastering Workers Comp Costs, a comprehensive step-by-step manual of cost containment strategies based on hands-on field experience, and is founder & lead trainer of Amaxx Workers’ Comp Training Center. .
Do not use this information without independent verification. All state laws vary. You should consult with your insurance broker, attorney, or qualified professional.
