Earlier this month the Centers for Medicare and Medicaid Services (CMS) released a revised Workers’ …
Practical Implications of the Revised CMS WCMSA Reference GuideRead More
Claims Resolution and Settlement
Accuracy in Section 111 Reporting of ORM Vital to Avoiding Unnecessary Repayment Demands from Medicare
While the Commercial Repayment Center (CRC) has faced some valid criticism over the course of the …
How to Help Frustrated Injured Workers’ OUT of Work Comp System…And Save Money Settling Tough Claims
Imagine a scenario where an injured worker who’s been receiving workers’ compensation benefits for …
How To Settle Tough Workers’ Comp Cases Without Unintended Consequences
A structured settlement can be a great way to ensure an injured worker is able to care for himself …
How To Settle Tough Workers’ Comp Cases Without Unintended ConsequencesRead More
Second Chance with MSA Approval: New CMS Policy Allows for Review of a New MSA Post a Prior Approval
While there may be no second chances in life, there is now a second chance for CMS review and …
Leverage Post-Settlement Professional Administration for Truly Optimal Outcomes
Every now and then an idea comes along that makes so much sense you wonder why it hasn’t been …
Leverage Post-Settlement Professional Administration for Truly Optimal OutcomesRead More
Case Study: 60% MSA Savings From CMS Re-Review Process
While the Workers’ Compensation Medicare Set-Aside (WCMSA) review process remains voluntary, it is …
Case Study: 60% MSA Savings From CMS Re-Review ProcessRead More
Case Study: Obtaining a Legal Zero MSA
There are many barriers to settling workers’ compensation cases that have placed a significant …
Leverage Emotional Intelligence For Successful Claim Settlements
“Today is a new day, the first day of the rest of your life." Each of us has certainly …
Leverage Emotional Intelligence For Successful Claim SettlementsRead More
Denied Claim Zero MSAs: Still Available, But Put Through Wringer by CMS
In October 2016, CMS made an unannounced policy change which effectively eliminated the ability to …
Denied Claim Zero MSAs: Still Available, But Put Through Wringer by CMSRead More
Identify and Realize Medicare Set-Aside Savings Opportunities
The rising costs of workers’ compensation come in many different forms. One such way members of …
Identify and Realize Medicare Set-Aside Savings OpportunitiesRead More
3 Indicators Open Work Comp Claims Are Ready to Settle
Spring is in the air—time to do some spring clean. This should not be limited to your home. Use …
3 Indicators Open Work Comp Claims Are Ready to SettleRead More
CMS Provides Another Piece of the Puzzle on Future LMSA Policy
While the Centers for Medicare and Medicaid Services (CMS) has yet to formally issue a policy …
CMS Provides Another Piece of the Puzzle on Future LMSA PolicyRead More
In a Volatile Political Climate MSAs & Professional Administration Provide Much Needed Assurances
These first few of months of 2017 have been, to put it mildly, volatile in national politics. The …
2 New Tricks for New Workers’ Comp Claims
Published originally on February 6, 2017 on WorkComp Wire As discussed in last week’s …
How Old Dog Workers Comp Claims Can Learn New Tricks
Published originally on January 30, 2017 - WorkCompWire By Dan Anders, Chief …
How Old Dog Workers Comp Claims Can Learn New TricksRead More
CMS MSA Review Expansion to Liability Planned for 2018
We are not even a week into 2017, but already have news to share regarding Medicare’s planned …
CMS MSA Review Expansion to Liability Planned for 2018Read More
Christmas Miracles Can Happen in Workers’ Compensation
For those of us who deal with MSAs, it’s all too common to see claims at settlement time that …
Christmas Miracles Can Happen in Workers’ CompensationRead More
Use Non-Therapeutic Pharmacy Changes to Reduce Your MSA Costs
Prescription drug costs represent both a source of national attention and a major cost driver of …
Use Non-Therapeutic Pharmacy Changes to Reduce Your MSA CostsRead More
Avoid Being Surprised By A Workers Comp Settlement
In general, the more risk an employer has retained, the more control the insurer will relinquish. …
