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Archive | January, 2013

Penalties for Failure to Contest or Pay Medical Bills Timely

Many insurers and third-party administrators utilize the services of third-party vendors to process payment or denial of medical bills. A recent Industrial Claim Appeals Office case awarding penalties against a self-insured employer for failure of the third-party vendor to process payment or denial of medical bills within the deadlines imposed by the Workers’ Compensation Rules […]

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CMS to Utilize Updated Life Tables for Life Expectancy on MSAs

The Centers for Medicare and Medicaid Services (CMS) has announced that effective January 19, 2013, it will begin referencing the Centers for Disease Control (CDC) Table 1: Life table for the total population: United States, 2008, for Workers’ Compensation Medicare Set-aside Arrangement (WCMSA) life expectancy calculations. This means that for any newly submitted WCMSA proposal […]

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Mileage Rate for 2013

Just a reminder that the Medical Fee Schedule (W.C.R.P. 18) increased the reimbursement rate for mileage to $.052 per mile, effective for travel on or after January 1, 2013.

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