by Leah King, PharmD, JD, Independent Pharmacy Consultant & Charlotte Chovanec, RN, BSN, MHA, Clinical Director Although we don’t hear as much about it as we once did, the opioid crisis has continued to rage during the COVID-19 pandemic. Originally issued in October 2020, and updated in April 2021, the American Medical Association (AMA) published […] Continue
by Frank Fairchok, Vice President of Medicare Reporting Services CMS is hosting a webinar on June 23, 2021 to discuss upcoming changes to Section 111 Reporting for Non-Group Health Plan entities. These changes are related to the PAID Act, which was signed into law on December 11, 2020 and gave CMS one year to begin […] Continue
by Haj Aoki, Division Manager & Eric McClain, Lead MSA Analyst As featured last week on workcompwire.com, the Department of Industrial Relations (DIR) and the Division of Workers’ Compensation (DWC) recently issued their annual report on the Independent Medical Review (IMR) program which analyzed data from 2020. IMR is the medical dispute resolution process that […] Continue
by Crissy Sherman, CMS Operations Manager Centers for Medicare and Medicaid Services (CMS) released a revised Workers’ Compensation Medicare Set-Aside (WCMSA) Reference Guide Version 3.3 (dated April 19, 2021) late last week. Changes are detailed in Section 1.1 of the updated guide and include the following highlights, which may impact your claim management: Instructions for […] Continue
by Charlotte Chovanec, RN, BSN, MHA, Clinical Director & Eric McClain, Lead MSA Analyst While every year new and innovative treatments are introduced to the medical community to enhance the quality of patients’ lives, seldom do we see these treatment options crossover to Worker’s Compensation as quickly. In the area of cardiac treatment, we are […] Continue