Where a Wisconsin worker settled a contested workers’ compensation claim with his employer and its insurer by means of a compromise settlement agreement that called for the payment of $120,000 to the claimant, $30,000....
Bankruptcy Court Nixes WI Claimant’s Effort to Avoid Paying Med Providers Bankruptcy Court Nixes WI Claimant’s Effort to Avoid Paying Med ProvidersBankruptcy Court Nixes WI Claimant’s Effort to Avoid Paying Med Providers Where a Wisconsin worker settled a contested workers’ compensation claim with his employer and its insurer by means of...
Opinion Mondays: Settlements in Contested Cases Can be Fraught With Equitable Challenges Opinion Mondays: Settlements in Contested Cases Can be Fraught With Equitable ChallengesThe Court of Appeals of North Carolina affirmed a decision by the state’s Industrial Commission that denied additional medical benefits claimed by an injured worker on statute of limitations grounds...
Medical Provider's Decision to Bill Medicare, Rather than Carrier, Results in NC Employee's Loss of Benefits on Statute of Limitations Grounds Medical Provider's Decision to Bill Medicare, Rather than Carrier, Results in NC Employee's Loss of Benefits on Statute of Limitations GroundsYesterday (October 10, 2019), the Ninth Circuit Court of Appeals reversed a decision by a U.S. District Court for the Central District of California in which the lower court had...
Ninth Circuit Says California’s Insolvency Fund Need Not Reimburse CMS for Medicare’s Conditional Payments Ninth Circuit Says California’s Insolvency Fund Need Not Reimburse CMS for Medicare’s Conditional PaymentsA Pennsylvania appellate court has concluded that an examination involving no new medical condition, change in medical condition, or other circumstances that require an examination and assessment above and beyond...
PA Court Nixes Chiropractor’s Separate Charges for “Office Visits” in Connection with Treatments PA Court Nixes Chiropractor’s Separate Charges for “Office Visits” in Connection with TreatmentsPart of SSDI’s Fiscal Weakness Tied to Cost Shifting from Workers’ Compensation In an important recent paper, Professor John Burton and his colleague, Steve Guo, argue that significant fiscal improvements...
Does Long-Term Strength of the SSDI Trust Fund Depend Upon Changes to State Workers’ Comp Programs? Does Long-Term Strength of the SSDI Trust Fund Depend Upon Changes to State Workers’ Comp Programs?Characterizing the language of a workers’ compensation settlement agreement that included a provision for a Medicare set-aside annuity (MSA) as “sloppy” and “imprecise” and quoting novelist Vladimir Nabokov’s advice to...
What A Difference a Word Makes: Illinois Court Remands Case Because Settlement Agreement Ambiguous What A Difference a Word Makes: Illinois Court Remands Case Because Settlement Agreement Ambiguous