Back to Expert Analysis

Court Addresses Medicare Section 111 Reporting Obligations for Guaranty Funds

03 May, 2021 Heather Schwartz Sanderson

A recent decision out of the U.S. District Court for the Northern District of Illinois, Eastern Division entitled Ill. Ins. Guar. Fund v. Cochran, 2021 U.S. Dist. LEXIS 78452 (April 23, 2021) illuminates the Centers […]

    • Read Also

    NJ Targets Rampant Misclassification of Drywall Workers

    In its second strategic enforcement initiative, focusing on the drywall industry, the New Jersey Department of Labor and Workforce Development (NJDOL) reached a first-of-its-kind enhanced compliance agreement with Donald Drywall, L.L.C. of Lakewood after investigators […]
    A Deeper Look at Utilizing Generic Drugs in Workers’ Comp 

    Contributing Author: Cameron Hannum, Pharm.D., Sr. Clinical Account Pharmacist, Enlyte According to JAMA, the Journal of the American Medical Association, during a ten-year period branded pharmaceutical products in the U.S. increased 159% by list price […]
    Quiet Quitting: Unveiling the Shifts in the Workers’ Compensation Industry

    In the wake of the global pandemic, the workers’ compensation industry has witnessed significant transformations, profoundly impacting the human capital within the sector. This element of human capital impact is only the beginning! The COVID-19 […]

    About The Author

    • Heather Schwartz Sanderson

    More by This Author

    Evidence-Based Medicine Results in Optimal Clinical Outcomes: Why Potentially Lowering Your Medicare Set-Aside (MSA) is Just a Secondary Benefit

    Evidence-based medicine (EBM) is “the conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients.”[1] The aim of EBM is to integrate the experience of the clinician, the values […]
    Sanderson Firm Welcomes Leesa Rice as Executive Vice President, Business Development

    Bradenton, FL (WorkersCompensation.com) – Sanderson Firm PLLC, a Medicare Secondary Payer (MSP) Compliance law firm, is pleased to announce the appointment of Leesa Rice as Executive Vice President, Business Development. Rice brings with her over […]
    Why Timely Ongoing Responsibility for Medical (ORM) Termination is so Important in MMSEA Section 111 Reporting

    If you work with workers’ compensation or no-fault/auto claims involving Medicare beneficiaries, you should be familiar with Ongoing Responsibility for Medical (ORM) as a requirement of MMSEA Section 111 Reporting. According to the NGHP User […]

    Read More

    NJ Targets Rampant Misclassification of Drywall Workers

    In its second strategic enforcement initiative, focusing on the drywall industry, the New Jersey Department of Labor and Workforce Development (NJDOL) reached a first-of-its-kind enhanced compliance agreement with Donald Drywall, L.L.C. of Lakewood after investigators […]
    A Deeper Look at Utilizing Generic Drugs in Workers’ Comp 

    Contributing Author: Cameron Hannum, Pharm.D., Sr. Clinical Account Pharmacist, Enlyte According to JAMA, the Journal of the American Medical Association, during a ten-year period branded pharmaceutical products in the U.S. increased 159% by list price […]
    Quiet Quitting: Unveiling the Shifts in the Workers’ Compensation Industry

    In the wake of the global pandemic, the workers’ compensation industry has witnessed significant transformations, profoundly impacting the human capital within the sector. This element of human capital impact is only the beginning! The COVID-19 […]
    Overcoming the Odds: Empowering Injured Workers on the Road to Recovery

    Workplace injuries can be life-altering, burdening individuals physically, emotionally, and financially. While workers’ compensation programs aim to support injured workers, the journey to recovery can be grueling. This article will explore the challenges injured humans […]
    CMS Significantly Expands Amended Review MSA Availability

    The Centers for Medicare and Medicaid Services (CMS) announced the expansion of its Amended Review policy to significantly more MSAs in the latest update to its WCMSA Reference Guide, Version 3.9. The Amended Review process was […]
    Our Current State Fails to Attract the Next Generation

    In the workers’ compensation industry, relationships play a pivotal role. Take a moment to reflect on how you entered this field and why you stayed. Why are you here now? Our connection to this industry […]

    Request a Demo

    To request a free demo of one of our products, please fill in this form. Our sales team will get back to you shortly.