Colorado Uninsured Employer Bill Now In Effect

  • By Ingle
  • 5 July, 2017
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Uninsured employer bill takes effect by Joyce Famakinwa 7/5/2017 1:23:00 PM  A bill signed last month by Colorado Governor John Hickenlooper Jr. that allows the state’s Division of Insurance to … Continue Reading →


New Medicare cards!

  • By Ingle
  • 5 June, 2017
  • Comments Off on New Medicare cards!

New Medicare cards offer greater protection to more than 57.7 million Americans Date 2017-05-30 Title New Medicare cards offer greater protection to more than 57.7 million Americans Contact press@cms.hhs.gov New … Continue Reading →


Federal bill could ease Medicare Part D reimbursements

  • By Ingle
  • 20 October, 2016
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By Louise Esola 10/17/2016 2:12:00 PM A federal bill could help make it easier for workers compensation payers to determine how much they must pay to reimburse Medicare Part D … Continue Reading →


Opioids and the Injured Worker

  • By Ingle
  • 19 October, 2016
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Like föra cost containment, IWPharmacy is working to bring attention to the epidemic of opioid use in the Workers’ Compensation arena. IWPharmacy has published a white paper titled “Opioids and the … Continue Reading →


Medically Speaking – Marijuana and Pain Management White Paper

  • By Ingle
  • 18 October, 2016
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Marijuana and Pain Management  Robert Goldberg, MD, FACOEM, Chief Medical Officer, Healthesystems “Are physicians ready to embrace this brave new world of medical marijuana? Recent developments in the legalization of … Continue Reading →


A False Choice

  • By Ingle
  • 10 October, 2016
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In working with our clients in states where marijuana is legalized for medical and/or recreational use, there is a fair amount of concern and discussion. We are watching this closely … Continue Reading →


Conditional payment disputes mired in Medicare appeals backlog

  • By Ingle
  • 10 October, 2016
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AUTHOR:SHAWN DEANE Insurers seeking appeals of adverse conditional payment decisions are finding that their cases are dragging, thanks to a major backlog of pending Medicare appeal requests. The Strengthening Medicare … Continue Reading →


NGHP Alert – New EXCLUDED Diagnosis Codes

  • By Ingle
  • 28 September, 2016
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Financial Services Group                                                       … Continue Reading →


MSP Statute Extends Its Reach in the 11th Circuit: Foreshadowing for Liability MSAs?

  • By Ingle
  • 18 August, 2016
  • Comments Off on MSP Statute Extends Its Reach in the 11th Circuit: Foreshadowing for Liability MSAs?

AUTHOR:KATE RIORDAN AUGUST 18, 2016 In our first blog post on this topic, we outlined the new and emerging risks and complications presented by Medicare Advantage Plans (MAPs). As previously … Continue Reading →


Removing Impediments to Settlements: Conditional Payments in Liability Claims

  • By Ingle
  • 16 August, 2016
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AUTHOR:SHAWN DEANE  AUGUST 16, 2016 While the Commercial Repayment Center’s (CRC) conditional payment process has received a lot of coverage in the last eight months, its collections apply only to … Continue Reading →


Breaking News: 11th Circuit Rules Medicare Advantage Plans Can Sue in Federal Court

  • By Ingle
  • 12 August, 2016
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AUTHOR:MARTIN CASSAVOY AUGUST 12, 2016 In a broad ruling released on August 8, the Eleventh Circuit Court of Appeals expanded the rights of Medicare Advantage Organizations (MAOs) to use Federal … Continue Reading →


Medicare announces participants in effort to improve access, quality of care in rural areas

  • By Ingle
  • 5 August, 2016
  • Comments Off on Medicare announces participants in effort to improve access, quality of care in rural areas

FOR IMMEDIATE RELEASE August 4, 2016 Contact: CMS Media Relations (202) 690-6145 | CMS Media Inquiries Today, the Centers for Medicare & Medicaid Services (CMS) announced the participants in the … Continue Reading →


Gender Considerations in Workers’ Compensation

  • By Ingle
  • 28 July, 2016
  • Comments Off on Gender Considerations in Workers’ Compensation

  Click HERE for the original article.


Comp, retaliation ruling under question

  • By Ingle
  • 27 July, 2016
  • Comments Off on Comp, retaliation ruling under question

By Donna Mahoney 7/27/2016 4:10 pm A recent Ohio Supreme Court interpretation of a statute that protects an employee who files a workers comp claim from being fired in retaliation … Continue Reading →


Medicare and Medicaid Program Integrity Report to Congress

  • By Ingle
  • 21 July, 2016
  • Comments Off on Medicare and Medicaid Program Integrity Report to Congress

July 20, 2016 By Shantanu Agrawal, M.D. Deputy Administrator and Director, Center for Program Integrity  $42 Billion Saved in Medicare and Medicaid Primarily Through Prevention Today, CMS released a report … Continue Reading →


Obama expected to sign act aiming to chip away at opioid woes

  • By Ingle
  • 20 July, 2016
  • Comments Off on Obama expected to sign act aiming to chip away at opioid woes

By Donna Mahoney 7/20/2016 4:18 pm President Barack Obama is expected to sign an opioid and heroin abuse bill aimed to address the nation’s narcotic epidemic by giving states the … Continue Reading →


Capitate It

  • By Ingle
  • 7 July, 2016
  • Comments Off on Capitate It

By David DePaolo Posted: 07 Jul 2016 09:38 AM PDT Workers’ compensation medicine is often critiqued against general health medicine, the implication that general health does things better. And to … Continue Reading →


Short-term opioid use may contribute to circle of pain

  • By Ingle
  • 6 July, 2016
  • Comments Off on Short-term opioid use may contribute to circle of pain

Donna Mahoney Long-term opioid use can prolong chronic pain for injured workers, according to members of the medical industry, but there is new concern that use of the narcotic for … Continue Reading →


The Ignorant Aging

  • By Ingle
  • 28 June, 2016
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by David DePaolo Posted: 28 Jun 2016 04:51 AM PDT I’m not an AARP member … yet. Maybe I should be – heck I’ll be 60 in just over 3 … Continue Reading →


CMS Announces Proposed Payment Changes for Medicare Home Health Agencies for 2017 (CMS-1648-P)

  • By Ingle
  • 27 June, 2016
  • Comments Off on CMS Announces Proposed Payment Changes for Medicare Home Health Agencies for 2017 (CMS-1648-P)

Today, the Centers for Medicare & Medicaid Services (CMS) announced proposed changes to the Medicare home health prospective payment system (HH PPS) for calendar year (CY) 2017 that would foster … Continue Reading →


Adjustments to Fee Schedule Amounts for Certain DMEPOS Using Information from the Competitive Bidding Program

  • By Ingle
  • 23 June, 2016
  • Comments Off on Adjustments to Fee Schedule Amounts for Certain DMEPOS Using Information from the Competitive Bidding Program

The Centers for Medicare & Medicaid Services (CMS) announces the release of the July 2016 Medicare Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) fee schedule amounts.  The fee schedule … Continue Reading →


Effectiveness of long-term opioid use in question

  • By Ingle
  • 22 June, 2016
  • Comments Off on Effectiveness of long-term opioid use in question

By Donna Mahoney 6/22/2016 4:23 pm A growing awareness of risks associated with long-term opioid use combined with questions about the drugs’ effectiveness has caused them to be prescribed less … Continue Reading →


Medicare Trustees Report Shows Continued Slow Cost Growth

  • By Ingle
  • 22 June, 2016
  • Comments Off on Medicare Trustees Report Shows Continued Slow Cost Growth

Medicare Trustees Report Shows Continued Slow Cost Growth Today, the Medicare Trustees projected that the trust fund financing Medicare’s hospital insurance coverage will remain fully funded until 2028, 11 years … Continue Reading →


Social Security Funded Until 2034, and About Three-Quarters Funded for the Long Term; Many Options to Address the Long-Term Shortfall

  • By Ingle
  • 22 June, 2016
  • Comments Off on Social Security Funded Until 2034, and About Three-Quarters Funded for the Long Term; Many Options to Address the Long-Term Shortfall

Posted on June 22, 2016 by Carolyn Colvin, Acting Commissioner of Social Security The Social Security Board of Trustees today released its 76th annual report to Congress on the financial … Continue Reading →


Medicare Will Use Private Payor Prices to Set Payment Rates for Clinical Diagnostic Laboratory Tests Starting in 2018

  • By Ingle
  • 17 June, 2016
  • Comments Off on Medicare Will Use Private Payor Prices to Set Payment Rates for Clinical Diagnostic Laboratory Tests Starting in 2018

CMS News FOR IMMEDIATE RELEASEJune 17, 2016 Contact: CMS Media Relations(202) 690-6145 | CMS Media Inquiries Today, the Centers for Medicare & Medicaid Services (CMS) released a final rule implementing … Continue Reading →


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