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Expert Analysis

Deep analysis and thought leadership from experts in everything related to workers’ compensation

Medicare Fee Schedules and Workers’ Compensation in 2024 
Medicare Fee Schedules and Workers’ Compensation in 2024 

WHAT: The Centers for Medicare and Medicaid Services (CMS) updates its reimbursement rules and rates for medical services each year.   This report highlights the 2024 changes to CMS fee schedules for the following service […]
Who Should Receive Urine Drug Testing and How Often?
Who Should Receive Urine Drug Testing and How Often?

By: Christina Klemm, Pharm.D., BCACP, Clinical Pharmacist, Enlyte Pharmacy Solutions Urine drug testing (UDT) plays an important role in workers’ compensation, serving as an essential tool for pharmacy benefit managers (PBMs) to ensure safe and […]
NCCI Court Case Update
NCCI Court Case Update

Colorado—COVID-19 as Occupational Disease On May 2, 2024, the Court of Appeals of Colorado, in Life Care Centers of America v. Industrial Claims Appeals Office, ruled as a matter of first impression that COVID-19 can be […]
2024 NCCI AIS – Day One Morning – Stunning Numbers
2024 NCCI AIS – Day One Morning – Stunning Numbers

2024 NCCI AIS – Annual Insights Symposium – First Morning Sessions Thanks to Cristine Pike and Madison White for inviting me back to this year’s 2024 NCCI AIS.  They are excellent contacts for anything you […]
Upcoming Reporting Changes Emphasize Importance of Post-Settlement Workers’ Compensation MSA Administration
Upcoming Reporting Changes Emphasize Importance of Post-Settlement Workers’ Compensation MSA Administration

Shawn Deane General Counsel & Vice President of Claims Solutions | J29 Shawn.Deane@j29inc.com   As previously reported on in www.workerscompensation.com, the Centers for Medicare & Medicaid Services (“CMS”) plans to implement Sec. 111 reporting requirements relative […]
How AI Can Improve Treatment & Cost Forecasting Accuracy Within the Medicare Set-Aside Process 
How AI Can Improve Treatment & Cost Forecasting Accuracy Within the Medicare Set-Aside Process 

By Kimberly Wiswell, Director of Client Services, Embedded AI, Gradient AI   Medicare Set-Aside Arrangements (MSAs) are an important part of workers’ compensation programs and assist in earmarking settlement funds to cover future medical expenses stemming from […]
2024 Workers Comp Telemedicine – Going Strong But Limited
2024 Workers Comp Telemedicine – Going Strong But Limited

2024 Workers Comp Telemedicine – Still A Market? Long before analyzing the 2024 Workers Comp telemedicine markets and years before COVID-19 caused an instant explosion of telehealth appointments.  Looking for technology among the NWCDC vendors […]
NCCI’s new Quarterly Economics Briefing & LMI
NCCI’s new Quarterly Economics Briefing & LMI

WHAT: NCCI releases 2 new reports: Quarterly Economics Briefing – Q1 2024 [link.mediaoutreach.meltwater.com] and the latest edition of Labor Market Insights [link.mediaoutreach.meltwater.com]  [link.mediaoutreach.meltwater.com] WHO: The report is authored by Executive Director & Senior Economist Stephen Cooper, and Economists Patrick Coate and […]

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