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PBMs and Legacy Work Comp Claims

11 Feb, 2020 WorkersCompensation.com

Employers, state funds, and insurers are focusing more and more on closing old claims; the most successful ones are partnering with their Pharmacy Benefit Managers.  The logic is clear – the older and more costly […]

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    How the Court Ruled

    If you chose A, you sided with the court in Pernice v. Harlan Elec. Co., No. 534832 (N.Y. Sup. Ct. App. Div. 06/01/23), which concluded that the electrician was acting with the scope of his employment […]
    Workers’ Comp 101 Round-Up

    Sarasota, FL (WorkersCompensation.com) — You might have noticed in our legal- and compliance-oriented stories, we like to give you a little bit of nuts-and-bolts info that we call Workers’ Comp 101. To help you keep […]
    How the Court Ruled

    If you chose B you sided with the court in Larson. v. Illinois Workers’ Compensation Commission, No. 4-22-0522WC (Ill. Ct. App. 05/22/23), which affirmed the Commission’s determination that there was no employment contract, express or implied, […]

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    ReEmployAbility Announces Free Webinar: ‘Overcoming Jurisdictional Return-to-Work Challenges’

    ReEmployAbility, Inc.Contact: Rebecca Dearth(813) 261-3117 | news@reemployability.com Brandon, FL (May 10, 2023)- ReEmployAbility CEO and Founder Debra Livingston will be hosting a second free, live Work Comp Central webinar in their continued series to educate […]
    NCCI Annual Golf Event Tees Up $25,000 for Kids’ Chance of America

    (Orlando, FL–May 10, 2023)—The National Council on Compensation Insurance (NCCI) has given $25,000 to Kids’ Chance of America, supporting college scholarships for the children of injured workers. NCCI made the donation in conjunction with its Annual […]
    What Makes a CMS Appeal Successful?

    In response to a Medicare conditional payment demand, payers can access a five-level appeals process, including a hearing before a Centers for Medicaid and Medicaid Services (CMS) administrative law judge (ALJ). Most conditional payment demand […]

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    How the Court Ruled

    If you chose A, you sided with the court in Pernice v. Harlan Elec. Co., No. 534832 (N.Y. Sup. Ct. App. Div. 06/01/23), which concluded that the electrician was acting with the scope of his employment […]
    Workers’ Comp 101 Round-Up

    Sarasota, FL (WorkersCompensation.com) — You might have noticed in our legal- and compliance-oriented stories, we like to give you a little bit of nuts-and-bolts info that we call Workers’ Comp 101. To help you keep […]
    How the Court Ruled

    If you chose B you sided with the court in Larson. v. Illinois Workers’ Compensation Commission, No. 4-22-0522WC (Ill. Ct. App. 05/22/23), which affirmed the Commission’s determination that there was no employment contract, express or implied, […]
    How the Court Ruled

    If you chose A, you sided with the court in Serrata v. Suffolk County Police Department, No. 534726 (N.Y. Sup. Ct. App. Div. 05/18/23), which held that the special errand exception applied to the claim. The […]
    How the Court Ruled

    If you chose A, you sided with the court in Dimeo v. Trinity Health Corp., No. 535739 (N.Y. Sup. Ct. App. Div. 05/18/23), which held that the therapist’s heart attack, while it may have been triggered […]
    How the Court Ruled

    If you selected B, you agreed with the court in Horne v. XL Insurance America Inc., 2023 WL 3354317 (N.D. Miss. 05/10/23), in which the court ruled against the worker, finding that she did not […]

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