On March 2, 2012, the Board of Directors approved circulation of a proposed amendment to the Excess Workers’ Compensation Program MOC to program members and county counsels for review and comment. Complete details, including a redline/strikeout version of the EWC MOC are available. We encourage you to share the proposed amendments with your staff and… Read the full post →
Posts by jack
Howell Case Decided in Favor of Defense!
September 22nd, 2011
In Howell v. Hamilton Meats & Provisions, Ms. Howell was injured in an auto accident. Her providers billed about $174,000, but accepted as payment in full from her insurers about $41,000. The jury was allowed to hear evidence about the billed amounts. Pursuant to the post-trial motion, the trial court reduced the medical damages award… Read the full post →
Do you know if redistricting will change your representation?
July 1st, 2011
LA Times has created an online tool that will show you how your district lines currently are drawn, and the proposed redistricting being considered. If you enter any address it will show the current and proposed representation for that address.
CMS Delays Reporting for Liability Claims until 2012
November 16th, 2010
The Center of Medicare and Medicaid Services (CMS) announced on November 9th that the requirement for reporting new liability claims, or be subject to fines, has been extended from the first quarter of 2011 to the first quarter of 2012. This does not apply to claims with Ongoing Responsibility for Medical (ORM) claims. It will… Read the full post →
New Appellate Court Decision – Impact to your Auto Liability Coverage
October 8th, 2010
In Lobo v. Tamco a Tamco employee was involved in a collision between the employee and a motorcycle deputy resulting in the deputy’s death. The employee was on his way home and rarely used his car for company business. The family of the deputy filed a lawsuit against Tamco, under a theory of respondeat superior…. Read the full post →
Direct Data Entry option is available for small volume users
July 1st, 2010
At the Centers for Medicare & Medicaid Services (CMS) Town Hall meeting on May 25, 2010, CMS provided an alert and information regarding a new process they have developed for small volume RRE users. This is called the Direct Data Entry (DDE) option. To use this, an RRE must have a volume not to exceed… Read the full post →
Your Help is Needed to Improve the MSP – Support HR 4796
May 20th, 2010
The Medicare Advocacy Recovery Coalition (MARC) is working with legislators in Washington to improve the existing Medicare Secondary Payer (MSP) law. They are working with Representatives Tim Murphy and Patrick Murphy (both from Pennsylvania) on H.R. 4796, the Medicare Secondary Payer Enhancement Act of 2010 (MSPEA). The MSPEA would make the following changes which will… Read the full post →
Revised CMS User Guide is Available
March 12th, 2010
The EIA has reviewed the revised CMS User Guide, Version 3.0, issued February 22nd and has developed a summary of major changes. Contact Jack Blyskal if you have questions regarding these updates or other CMS reporting questions. Summary Revised CMS User Guide
MMSEA Update: Reporting Date Has Changed
February 19th, 2010
On February 17, 2010, the Centers for Medicare and Medicaid Services (CMS) announced that it was moving the start date for mandatory reporting of eligible claims from April 1, 2010 to January 1, 2011. This provides an additional nine months for those Responsible Reporting Entities to ensure their data transmittals to CMS are functioning properly… Read the full post →
MMSEA Compliance
February 4th, 2010
In 2007 then President George W. Bush signed into law the SCHIP (State Children’s Health Insurance Program) legislation. Included in that legislation is section 111 which creates fines against “Primary Payers” for failing to report to Medicare (CMS) and claims where payments are made for Medicare eligible beneficiaries. The original implementation of this was targeted… Read the full post →
