Identifying and satisfying conditional payments by Medicare Advantage Plans

When settling a claim involving a Medicare beneficiary, parties to the settlement are well aware of their obligation to contact the Center for Medicare and Medicaid Services (CMS) and determine whether Medicare has made any conditional payments for medical expense related to the workers’ compensation claim. Once inquiry is made, the Center for Medicare and […]

Findings highlight outcomes of TSA in workers’ compensation patients

Recently published data indicated patients who underwent anatomic total shoulder arthroplasty and received workers’ compensation were more likely than patients who did not have this designation to be male, younger and laborers with worse American Shoulder and Elbow Surgeons scores. Investigators compared the outcomes of 13 consecutive workers’ compensation patients who underwent anatomic TSA to […]

West Virginian claims Family Dollar fired her after being injured on the job

A Fayetteville, West Virginia woman is suing Family Dollar over claims the company unlawfully fired her after being injured on the job. The plaintiff claims she applied for workers’ compensation and was then limited to restrictive lifting of no more than 5 pounds; that supervisors told her she could no longer work with those limitations […]

Workers’ compensation policies show variation in costs, claims

Certain workers’ compensation policies show state-level variation in cost, disability time and outcomes of claims for low back pain, according to data recently published in the Journal of Occupational and Environmental Medicine. Medical costs and disability times were higher in states that allowed injured workers, rather than employers, choose providers. Costs and disability also were […]