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Mass. ‘Run-Off’ Insurers May Collect 2nd Injury Reimbursements
Mass. ‘Run-Off’ Insurers May Collect 2nd Injury Reimbursements

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 […]
Medicare Fee Schedules and Workers’ Compensation in 2024 
Medicare Fee Schedules and Workers’ Compensation in 2024 

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 […]
Congress Looking at Partially Reversing Physician Reimbursement Cuts 
Congress Looking at Partially Reversing Physician Reimbursement Cuts 

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 […]
Determining Reasonable IME Fees in Iowa Requires Looking at Rates in Relevant Area
Determining Reasonable IME Fees in Iowa Requires Looking at Rates in Relevant Area

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. […]
CMS Final Rule Reduces Physician Reimbursement Again 
CMS Final Rule Reduces Physician Reimbursement Again 

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 […]
Quick Hit: Mich. Expenses for Employees Attending a Board Appointed Examination
Quick Hit: Mich. Expenses for Employees Attending a Board Appointed Examination

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 […]
AMA Questions Reduction in Physician Reimbursement for 2024
AMA Questions Reduction in Physician Reimbursement for 2024

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 […]
Iowa Workers’ Compensation Symposium Explores IME Reimbursement and Causation Challenges (Part 3 of 4)
Iowa Workers’ Compensation Symposium Explores IME Reimbursement and Causation Challenges (Part 3 of 4)

Pro Rata Reimbursement, Hearing Report Requirements, and Causation Issues in Workers' Compensation Cases Des Moines, IA - The 61st Annual Iowa Workers' Compensation Symposium continued its informative sessions on agency case law updates. During this […]