In 2007, Section 111 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (MMSEA) added mandatory insurer reporting (MIR) requirements to the Medicare Secondary Payer (MSP) Act at 42 USC ... Read More
Over the past fifteen years, there has been an ongoing dialogue creating a sense of urgency to the transition coming to the insurance space and we are now feeling it. Adding in the pandemic as well as the ... Read More
One of the most common and oftentimes difficult issues parties face when settling claims with Medicare beneficiaries is how to best resolve Medicare conditional payment claims. This is true in ... Read More
Workers’ compensation payers typically use Functional Capacity Evaluations, known as FCEs, to help guide difficult return-to-work decisions.
A return-to-work FCE evaluates an injured employee’s ... Read More
The term “core strength” seems to be one of the most commonly used phrases when discussing health and fitness. Most group fitness classes include a core section or are solely ... Read More
In workers’ compensation, catastrophic injuries transpire with relatively low frequency. When they do occur, however, payers demand an all-hands-on-deck approach that calls upon specialized experts to ... Read More
Have you ever been on the flip side of a workers’ compensation claim? Where you were the injured worker? If you have not, have you ever put yourself in the injured worker’s shoes? Or had a family ... Read More
As we enter the back half of 2021, roughly 51% of US citizens are fully vaccinated against COVID-19, and another 9.3% are partially vaccinated. (https://ourworldindata.org/covid-vaccinations?country=USA). ... Read More
Recently, there has been increasing discussion about Post Traumatic Stress Disorder (PTSD), not only in the general population but also in the workers’ compensation realm in regards to COVID-19. From ... Read More
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