The Under-Appreciated World Of Premium Audits

• 04/24/19
• Peter Rousmaniere

Most of us give no thought to workers’ compensation premium audits. Who would have thought they are so important and the hand maiden of controversy? Premium audits check the insured company’s ...
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Not All Who Wander Are Lost

• 04/22/19
• Sandy Shtab

Spring Break has come and gone, but for those of us on the conference circuit there has not been much of a break. In fact, right now happens to be one of the busiest times of the year in our ...
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At the Intersection of a Longshore Act Claim and a Medicare Secondary Payer Act Claim: Which Side Wins?

• 04/18/19
• Jean S. Goldstein

An interesting case arose out of the United States Court of Appeals for the Ninth Circuit yesterday.  The case is Grimm v. Vortex Marine Constr., No. 18-15104, 2019 U.S. App. LEXIS 11035 (9th Cir. ...
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Making Treatment Guidelines Matter

• 04/17/19
• Peter Rousmaniere

Our industry puts a lot of trust in guidelines that present best evidence of good medical care.  Does medical practice endorsed by these guidelines ensure better outcomes? Or are they window ...
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Do you Have More Questions About the New Electronic Payment Feature on the MSPRP?

• 04/16/19
• Jean S. Goldstein

s you may know, the Centers for Medicare and Medicaid Services (CMS) recently added new functionality to the Medicare Secondary Payer Recovery Portal (MSPRP) allowing electronic payments to be made, as ...
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Micro Versus Macro Analysis

• 04/15/19
• Judge David Langham

From economists, we have learned about interactive trade systems. They refer to "microeconomics" and "macroeconomics" distinguished thus by keydifferences.com:  "micro economics is the study of an ...
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For Life, Not for Eternity

• 04/12/19
• Judge David Langham

On February 25, 2019 the Supreme Court of the United States (SCOTUS) rendered an interesting decision in Yovino, Fresno County Superintendent of Schools v. Rizo, 586 U.S. ____ (2019); No. 18–272. ...
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Does the FDA’s Interest in Compounding Medications Mean They Will be Included in WCMSAs in the Future?

• 04/11/19
• Jean S. Goldstein

Last week Food and Drug Administration (FDA) Commissioner, Scott Gottlieb, M.D. and Deputy Commissioner, Anna Abram issued a statement on new 2019 efforts to improve the quality of compounded drugs. The ...
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Personal Comfort? Testing Compensability

• 04/08/19
• Judge David Langham

On November  4, 2016 Judge Wil Condry issued a summary Final Order in the case of Valcourt-Williams v. Sedgwick Claims Management. On April 5, 2019 the Florida First District Court of Appeal ...
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