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The Experts View

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Revisiting Medicare Mandatory Reporting of Settlements, Judgments, Awards, and Payments in Claims

  • 01/27/21
  • Rafael Gonzalez
On October 5, 2020, the Centers for Medicare and Medicaid Services (“CMS”) published Version 6.0 of its Liability Insurance (Including Self-Insurance), No-Fault Insurance, and Workers’ ...
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Updated NGHP User Guide Version 6.2 Issued: $750 TPOC Threshold Confirmed for GL, WC, and NF

  • 01/22/21
  • Heather Schwartz Sanderson
The Non-Group Health Plan (NGHP) User Guide is the primary source for Section 111 reporting requirements as mandated by Section 111 of the Medicare, Medicaid and SCHIP Extension Act of 2007 (MMSEA). As the ...
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WCMSA Review Contractor Reverses Rated Age Mistake Counter-Higher on Re-Review

  • 01/18/21
  • Rafael Gonzalez
On October 5, 2020, CMS published its latest edition of the Workers’ Compensation Medicare Set-Aside Arrangement (WCMSA) Reference Guide (Version 3.2). It includes §10.3 Section 15 – Rated ...
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Using Physical Therapy to Mitigate COVID-19's Impact on Claims

  • 01/14/21
  • Mary O'Donoghue
The “out with the old, in with the new” end of the year adage felt more meaningful this year with COVID-19, but unfortunately the virus did not go out with the year. While the final months of ...
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Specialty Work Comp Network Expertise Plays Key Role in Combating Opioid use Disorders

  • 01/11/21
  • Kate Farley-Agee
What’s become clear from years of combating opioid use disorders is that, for most patients, recovery is difficult and often protracted. Just as important, we’ve learned that the greatest chance ...
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How to get a Horse to Drink the Water - A Foster Child Takes on the Industry

  • 01/07/21
  • Claire Muselman
What we do matters. If you are reading this. YOU MATTER. Being in the workers’ compensation system is one of the most amazing gifts one can have because of the opportunity to impact human lives, ...
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Are Work-related COVID-19 Cases Fully Reported, Counted and Paid By Workers' Compensation?

  • 01/04/21
  • Terry Bogyo
COVID-19 has been infecting, disabling, and even killing workers in the course of their employment.  Healthcare workers, first responders, cleaners, grocery clerks and other essential workers are ...
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Influence Your State of Mind: Learn the Changing Channels Technique

  • 12/28/20
  • Daniel LeGoff
The Changing Channels technique is a cognitive-behavioral and mindfulness strategy meant to improve cognitive self-control.   What is the Changing Channels Technique? The Changing ...
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What Keeps Workers Safe from COVID-19?

  • 12/21/20
  • Terry Bogyo
Workplaces address  COVID-19 infection risks by highlighting the hazards and implementing a hierarchy of controls.  Observing the strategies and tactics workplaces are actually using  can ...
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Disclaimer: WorkersCompensation.com publishes independently generated writings from a variety of workers’ compensation industry stakeholders. The opinions expressed are solely those of the author and do not necessarily reflect those of WorkersCompensation.com.

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