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Workplace Injury Centers for Medicare & Medicaid Services (CMS)

Marshall Dennehey

Beware of the Language Used in Your Settlement Agreements: Medicare Is Watching

Marshall Dennehey on

The workers’ compensation practitioner has now become a forced bedfellow of CMS, like it or not. If you fail to “issue spot” in relevant settlements, you will have problems. Reprinted with permission from the October 2,...more

Weber Gallagher Simpson Stapleton Fires &...

Medicare Clarifies Position on Use of “Non-submit” or “Evidence-based” WCMSA Allocations

On January 10, 2022, Medicare published the Workers’ Compensation Medicare Set-Aside (WCMSA) Reference Guide, Version 3.5. Included in the Reference Guide is a new section, Section 4.3 The Use of Non-CMS-Approved Products to...more

Butler Weihmuller Katz Craig LLP

New Medicare Conditional Payment Case: Federal Court Requires CMS To Perform Surgery On Its Primary Plan Reimbursement Demands

Doctors often treat Medicare beneficiaries for accident related injuries (for which a “primary” auto or workers’ compensation carrier must reimburse Medicare) and unrelated maladies at the same visit. Billing for the visit...more

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