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WCRC Solicitation Released: Liability and No-Fault MSAs on the Horizon for 2018

As a follow-up to my recent blogwire articles regarding a change in the Workers’ Compensation Review Contractor (WCRC) and the new WCRC reviewing Liability Medicare ...

Winter Reading List - Drug Dealer, MD

In  Drug Dealer, M.D., Anna Lembke, a psychiatrist and chief of addiction medicine at Stanford University’s medical school, points the finger at over prescribing physicians ...

Continuing Changes in Texas DWC Hearings Division

DWC is losing two more Hearing Officers.  John Bell is leaving the Dallas Field Office and Marilyn Allen is leaving the Houston West Field Office. ...

Texas DWC Grades Own Paper - 2016 Biennial Report

On 12/1/16, the DWC published its 2016 Biennial Report. The DWC reports significant improvements since the 2005 HB legislative reforms including lower claims costs and ...

Texas Air Ambulance Litigation - Turns Out The Sky Is Not The Limit

Last month we reported that Travis County District Court Judge Stephen Yelenosky would hear the appeal of the State Office of Administrative Hearings’ (SOAH) decision ...

Texas - SJDB Vouchers Can Now Be Resolved for SB 863 Injuries

Per Beltran v. Structural Steel Fabricators (2016) Cal. Wrk. Comp. P.D. LEXIS [citation pending], parties may resolve Supplemental Job Displacement Benefits ("SJDB vouchers") regardless of ...

New Jersey Judge of Compensation Orders Employer to Pay Costs Of Medical Marijuana Program and Costs of Filling Prescriptions

On December 15, 2016, a decision following trial in New Jersey was handed down on the question of whether medical marijuana can be ordered under ...

Misconceptions About IMES In New Jersey Workers' Comp

There are a number of misconceptions about the rules on independent medical examinations.  Several provisions in the New Jersey Workers’ Compensation Act are helpful in ...

Employer Defeats ADA Lawsuit For Alleged Improper Requirement Of Fitness Examination - NWCDN New Jersey Member

Fitness for duty examinations must meet a standard of being job related and consistent with business necessity.  If the employer does not have enough to ...

Court Validates Firing Of City Worker While On Alternative Duty For Work Related Injury - NWCDN New Jersey Member

Derrick Dillard injured his back and shoulder in a work-related car accident in March 2011.  He was unable to perform his previous duties as a ...

Hospital Defeats Occupational Claim By Filing Motion To Dismiss After Petitioner's Case - NWCDN New Jersey Member

Diana Vernacchia worked as a housekeeper for Warren Hospital performing vacuuming and cleaning duties in the radiology department and hallways, dusting and cleaning the x-ray ...

Important Points from 2017 Three Member Panel Draft Report

The Florida Three Member Panel will meet in January in Tallahassee. The Three Member Panel is a statutory body created and created/enabled by Section 440.13(12), Fla. ...

CMS Announces Intent to Enhance Re-Review Process in 2017

Yesterday, CMS issued an Alert which states the following (the alert can be found here): The Centers for Medicare & Medicaid Services recently revisited the task ...

Defining "Progress"

How do we define progress? Perhaps that is one of the most vexing questions regarding the concept of Worker's Compensation, and the debates about its ...

Soda Taxes - Changing America?

A few years back, I introduced the sugary soda debate in Get Me a Huge Soda Please. There is co-morbidity in workers' compensation. One that has ...

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Featured author

Heather Schwartz Sanderson

Heather Schwartz Sanderson

Heather Schwartz Sanderson, Esq., MSCC, CHPE, CLMP, CMSP Heather is Chief Legal Officer for Franco Signor LLC, the nation's compliance authority for Medicare Secondary Payer (MSP) matters. She has lectured on MSP compliance to the workers’ compensation and liability insurance communities at conferences, associations, and individual offices nationwide. She is a regularly published author on court decisions and legislative reforms involving Medicare Set-Asides, conditional payments, and Mandatory Insurer Reporting issues. Understanding that compliance with the Medicare Secondary Payer Act can be at times complex and frustrating for those that handle claims with Medicare beneficiaries, Heather’s goal is to speak and write with the primary goal being simple and understandable solutions to compliance. Heather can be reached at Heather.Sanderson@francosignor.com Franco Signor's Blog can be found at: http://www.francosignor.com/msp-blog/
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