MMSEA Section 111 Reporting

Identifying reporting triggers - 2011 changes

"Jordan's terse commentary on developing case law on MSP, along with complete coverage and analysis of all things MSP - from reporting to set-asides to liability claims, and everything in between - has made this guide book the go-to source for the MSP. Every lawyer should have this resource within arm's reach because the 'Practice Pointers' are invaluable."

Rebecca Shafer, J.D., President

Amaxx Risk Solutions, Inc.

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Medicare, Medicaid, and SCHIP Extension Act (MMSEA) Section 111 Reporting: Identifying Reporting Triggers - 2011 Updates, by Jennifer C. Jordan, Esq. It is important to be familiar with the criteria for reporting to avoid being late in adhering to the MMSEA Section 111 requirements. The determination of whether to submit a claim is dictated by two criteria, both of which must be met to require reporting: 1) The claimant is Medicare-entitled; and 2) The per claim dollar payment thresholds have been met.This article will focus on per claim dollar payment thresholds. > Read more.

House Approves Bipartisan Legislation to Reform Federal Workers' Compensation Program. On Nov. 29, 2011, the U.S. House of Representatives approved the Federal Workers' Compensation Modernization and Improvement Act (H.R. 2465). The reform of FECA has been long overdue. > Read more.

Dr. Peter Barth on 100 Years of Workers' Compensation: Progress and Unmet Goals Mark Centennial, by John Stahl, Esq. The Workers' Compensation Research Institute kicked off its November 16-17, 2011 Annual Conference with reviewing the first 100 years of workers' compensation. Workers' Compensation guru Dr. Peter Barth provided a Centennial 60 Minutes. Barth's presentation had a "Back to the Future" feel and was as entertaining as that film trilogy. He discussed the impetuses for workers' compensation and important developments during its early years, the state of workers' compensation at roughly its 50-year mark, and the current environment that included thoughts regarding the road ahead. > Read more.

Larson's Spotlight reports noteworthy workers' comp cases each week. This list was compiled by Thomas A. Robinson, a staff writer for Larson's Workers' Compensation Law, the nation's leading authority on workers' compensation law.  

IL: AG Official Says Arbitrators Ignored Medical Experts in Menard Prison WC Claims.

IL: State Institutions Cluster in South Illinois Responsible for Majority of WC Claims.

MD: IWIF Promotes Derek Meeks to VP Information Systems.

MD: Labor Dept Meets With Business, Labor on Worker Classifications, Workplace Fraud Act.

MA: High Court Affirms Indefinite Suspension of Workers Comp Attorney Paul A Gargano.

MI: Senate Hearing on Workers Comp Bill Flies Under Radar.

MN: WCD's Rehabilitation Review Panel Seeks Two Regular Members.

MT: State Fund to Issue $6M Dividend to Policyholders.

NJ: Chief Judge Issues Memo on Reasonable Counsel Fees.

NJ: Chief Judge Issues Memo on Workers Comp Discovery Process.

OK: WCC to Hold Two Public Hearings on Medical, Hospital Fee Schedule Changes.

OK: Business Group Pushes for Nonsubscriber/Opt Out System for Workers Comp.

OR: WCD Publishes Final Rules on Medical Fee Payments, Services, Claim Closure.

TN: GOP Lawmakers Seek to Modify Workers Comp to Make State More Competitive.

TN: Former Titans Football Player Sues Team for Workers Comp Benefits.

WA: No Workers Comp Rate Increase in 2012.

WA: Study Shows Improving Medical Care Can Dramatically Reduce Lost Work Time.

July 11, 2011: State Workers' Comp Ball of Confusion: AIA's Position on WC Issues.

July 5, 2011: Pulmonary Embolism and the Homebased Worker.