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Claims Resolution and Settlement

CMS Revises Its Consent to Release Form – How Should The Industry Respond?

Starting April 1, 2020, Workers’ Compensation Medicare Set Asides (WCMSAs) that are submitted to …

CMS Revises Its Consent to Release Form – How Should The Industry Respond?Read More

Increased Penalties are Coming for Incorrect Medicare Secondary Payer Reporting

The federal agency that oversees Medicare is seeking to ramp up enforcement of its reporting …

Increased Penalties are Coming for Incorrect Medicare Secondary Payer ReportingRead More

Special Needs Trust Basics: What Should I Consider?

Navigating through complex settlement options can be difficult. Having a resource, like a …

Special Needs Trust Basics: What Should I Consider?Read More

4-Step Strategy to Successfully Settle Workers’ Comp Claims

Getting to a settlement can and should be a win-win for both payers and the injured worker. While …

4-Step Strategy to Successfully Settle Workers’ Comp ClaimsRead More

CMS Expands MSA Amended Reviews & Modifies Consents To Release In Updated Reference Guide

CMS recently released Version 3.0 of its WCMSA Reference Guide, what we informally call the “MSA …

CMS Expands MSA Amended Reviews & Modifies Consents To Release In Updated Reference GuideRead More

The Clear Indicator To Start Working on Settling a Workers’ Comp Claim

  There is a point within the Thanksgiving dinner when you know you have had too …

The Clear Indicator To Start Working on Settling a Workers’ Comp ClaimRead More

rated ages

Look to Rated Ages For Realistic Settlement Amounts

A well-developed settlement plan can be a win-win for all parties to a workers’ compensation claim. …

Look to Rated Ages For Realistic Settlement AmountsRead More

How to Control the 5 Variables that Impact MSA Amounts and Approvals

How to Control the 5 Variables that Impact MSA Amounts and Approvals

When is the right time to get a Medicare Set-Aside? What medical information is needed? And what …

How to Control the 5 Variables that Impact MSA Amounts and ApprovalsRead More

professional administrator

5 Criteria to Choose the Right Professional Administrator

It’s not often you hear of the government endorsing a particular service in the private sector. …

5 Criteria to Choose the Right Professional AdministratorRead More

terminate ORM

Terminate ‘Ongoing Responsibility for Medicare’ (ORM) or Invite Big Problems

The famed University of Alabama head coach, Paul “Bear” Bryant said, “when you make a mistake, …

Terminate ‘Ongoing Responsibility for Medicare’ (ORM) or Invite Big ProblemsRead More

msa fear

Eliminate ‘MSA Fear’ In Upcoming WCI Session in Orlando

Among the biggest fears of many people you may know are heights, snakes — and MSAs. Workers’ …

Eliminate ‘MSA Fear’ In Upcoming WCI Session in OrlandoRead More

mediation to settle workers' comp cases

Mediation to Successfully Settle Workers’ Comp Claims

  Mediation is frequently used in workers’ compensation cases to settle claims and avoid …

Mediation to Successfully Settle Workers’ Comp ClaimsRead More

Understanding of MSA Compliexity

Bringing Understanding of MSA Complexities at WCI in Orlando

Medicare Set-Asides are a pain-in-the-neck nightmare for many workers’ compensation stakeholders. …

Bringing Understanding of MSA Complexities at WCI in OrlandoRead More

Employing Creative Strategies to Settle Cases

The Work Comp Tool Box: Employing Creative Strategies to Settle Cases

  Settling workers’ compensation cases is an important part of being a proactive and …

The Work Comp Tool Box: Employing Creative Strategies to Settle CasesRead More

Properly Prepare A Confidential Mediation Statement

Mediation is frequently used in workers’ compensation cases to settle claims and avoid the …

Properly Prepare A Confidential Mediation StatementRead More

Medicare is Issuing Denials

The Centers for Medicare and Medicaid Services (CMS) asserts it has the right to deny paying for a …

Medicare is Issuing DenialsRead More

Settlement Agreements

Ensure Closed Settlement Agreements Are Not Reopened

The only good file is a closed file! In workers’ compensation, this is accomplished by settling …

Ensure Closed Settlement Agreements Are Not ReopenedRead More

workers' comp mediation

Workers’ Comp Mediation – Getting to “YES”

  Workers' comp mediation and other alternative dispute resolution methods can be effective …

Workers’ Comp Mediation – Getting to “YES”Read More

Generic drugs in workers' compensation

Case Study: More than $1.5 Million in Savings Through Generic Substitutes

The latest Drug Trend Report from myMatrixx once again showed a substantial cost difference between …

Case Study: More than $1.5 Million in Savings Through Generic SubstitutesRead More

Case Study: Double the Ongoing Medical Treatment From Injury Settlement

Injured individuals across the country are settling claims every day and often they have no idea …

Case Study: Double the Ongoing Medical Treatment From Injury SettlementRead More

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