Top 10 Medicare Secondary Payer Trends in 2019

• 02/14/19
• Shawn Deane

Medicare Secondary Payer (MSP) compliance is a rapidly evolving area that has experienced significant changes in recent years, and 2019 looks to be no different. Policy changes, stricter regulations, new ...
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Evaluating Medical Evidence to Make Better Workers' Comp Decisions

• 02/14/19
• Michael Stack

Members of the claim management team are called upon to evaluate the medical evidence and determine issues of reasonableness and necessity of medical care and treatment, along with determinations of ...
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Work comp - a soft target for "revenue maximizers"

• 02/13/19
• Joe Paduda

Last week we dove into the fastest growing medical cost driver in work comp – facility costs. (I’ve dug into this many times over the last fifteen years.) A key question ...
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Reclaiming Sexuality After Spinal Cord Injury

• 02/13/19
• Kenneth C. Parsons, MD

Nearly all aspects of life, including sexuality, are changed by a catastrophic injury. Spinal Cord Injury, in particular, can profoundly alter self-image and sense of worth. A case manager prepared with ...
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WCRI's Annual Workers' Comp Conference Features Latest Research and Efforts to Address Opioid Epidemic

• 02/12/19
• Michael Stack

With more Americans dying from opioid overdoses than car crashes, the Workers Compensation Research Institute (WCRI) is devoting a session at their upcoming 35th Annual Issues & Research ...
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Home case study

• 02/11/19
• Simon Melhuish

The evidence needed to prove insurance fraud is often well hidden, which makes uncovering that crucial ‘silver bullet’ very satisfying.  A substantial water damage claim was identified as ...
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WCRI's John Ruser on Why You Need to Come to Phoenix

• 02/11/19
• Joe Paduda

I caught up with WCRI CEO John Ruser PhD last week to find out why the WCRI Conference is in Phoenix, what we’ll learn, and why this event sells out every year. (register here) Why ...
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CMS Updates WCMSA Reference Guide and NGHP User Guide

• 02/08/19
• Heather Schwartz Sanderson

Yet another indication that The Centers for Medicare & Medicaid Services (CMS) intends to make Medicare Secondary Payer (MSP) enforcement a priority in 2019: both the WCMSA Reference Guide and NGHP User ...
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The State of the Regs

• 02/07/19
• Gallagher Bassett

 From Gallagher Bassett's The Way LEAD STORY The Occupational Safety and Health Administration (OSHA) withdrew part of its requirement that certain employers electronically file ...
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