How Three New CMS Policies Impact Workers’ Comp Claims December 1, 2025 By Mark Popolizio It is often said that things in life (good or bad) happen in threes. Whether this is true is beyond...
Viewpoint: CMS Releases FAQs on Section 111 Penalties November 30, 2023 By Dan Anders The Centers for Medicare and Medicaid Services (CMS) has published a Frequently Asked Questions (FAQ) document to supplement its recently...
Penalties for Late Medicare Secondary Act Reports Take Effect Next Year October 13, 2023 By Jim Sams Federal rules that impose $1,325-per-day civil money penalties on insurers and other organizations that fail to report settlements or judgments...
Viewpoint: Third Parties Create a Medicare Headache for Insurers and Employers July 26, 2022 By Jeff K. Stinson Dealing with Medicare-related issues in a workers’ compensation claim has never been anyone’s idea of a “good time” from the...
Montana Psych Hospital Loses Payments After Deaths, Assault April 13, 2022 HELENA, Mont. (AP) — Federal officials say they’ll no longer pay for services at Montana’s state psychiatric hospital following staffing...
Updated CMS Guide Spells Out the Risk of Skipping CMS Review of Work Comp Settlements January 18, 2022 By Jim Sams Insurers that are inclined to skip a government review of proposed workers’ compensation settlements may think twice about that strategy...
Viewpoint: CMS’ Liability Medicare Set Aside Proposal is Bad Policy August 6, 2019 By Nathaniel F. Wienecke It’s a scenario every senior citizen fears—getting seriously injured in an accident. Whether it’s a slip and fall at the...
MSP Changes Include Penalties, Review Criteria, Double Damages: Viewpoint May 28, 2019 By Shawn Deane As we approach the halfway point of 2019, Medicare Secondary Payer (MSP) continues to be one of the most rapidly...
Viewpoint: What’s Hiding in Your Medical Records? May 20, 2019 By Kimberly Wiswell Every year, organizations pay out millions of dollars in settlements for workers’ compensation claims for services they often shouldn’t. I’m...