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What Makes a CMS Appeal Successful?

30 Mar, 2023 WorkersCompensation.com

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 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 […]

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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 […]
    Pilot's Joint Employment Renders 2 Companies Equally Responsible for Benefits

    Lafayette, LA (WorkersCompensation.com) — Companies in Louisiana which jointly employee a worker are both responsible for his workers’ compensation benefits.  In a joint employment situation, the amount each company must contribute to workers’ compensation benefits […]

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    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 […]
    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 […]
    Best Practices for Protecting Temporary Workers

    Data indicate that temporary workers are at higher risk for injury due to several factors. To help mitigate this risk, we offer best practices for each step of the temporary worker employment process, including contracting, […]

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