Historically workers’ compensation insurers and employers avoided “psych” claims for fear that …
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
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
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
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 ‘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
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 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
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
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 …
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 – Getting to “YES”
Workers' comp mediation and other alternative dispute resolution methods can be effective …
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






