Case File Because the Massachusetts Insurers Insolvency Fund takes over an insolvent insurer's rights and responsibilities under the commonwealth's workers' compensation law, it has a right to collect cost-of-living adjustment reimbursements as the insurer would […]

Case File An insurer in "run-off" sought to collect second-injury trust fund reimbursements for payments it made to an injured worker, but the trust fund contended that the insurer was a nonparticipant and so could […]

WHAT: The Centers for Medicare and Medicaid Services (CMS) updates its reimbursement rules and rates for medical services each year.   This report highlights the 2024 changes to CMS fee schedules for the following service […]

Sarasota, FL (WorkersCompensation.com) – This year physician reimbursement saw another decrease overall, dropping 3.4 percent by means of a reduction to the conversion factor used to calculate rates. The conversion factor dropped from $33.89 in […]

Des Moines, IA (WorkersCompensation.com) -- When it comes to money, what's reasonable in one place might be too expensive somewhere else. As the Iowa high court explained in Mid American Construction LLC v. Sandlin, No. […]

Sarasota, FL (WorkersCompensation.com) – Despite strong complaints from the American Medical Association (AMA) about a 26 percent decrease in physician reimbursement from 2001 to 2023, it appears those complaints have fallen on deaf ears.  On […]

Detroit, MI (WorkersCompensation.com) -- In Michigan, expenses incurred by the employee attending a Board appointed examination are to be paid for by the employer. The following rates of reimbursement apply for travel. Items Amounts Mileage […]

Sarasota, FL (WorkersCompensation.com) – Under CMS, clinical provider reimbursement is structured differently than reimbursement for facilities, and payment for procedures can fluctuate drastically from year to year. Physicians are the only providers that don’t receive […]