Sarasota, FL (WorkersCompensation.com) – Despite strong complaints from the American Medical Association (AMA) about a 26 percent decrease in physician reimbursement from 2001 to 2023, it appears those complaints have fallen on deaf ears.  On […]

Sarasota, FL (WorkersCompensation.com) - Earlier this year, testimony presented to the House Committee on Ways and Means, showed that the number of healthcare provider bankruptcies increased 84 percent from 2021 to 2022. Although workforce shortages […]

Sarasota, FL (WorkersCompensation.com) – Earlier last week, CMS announced a proposed 3.34 percent decrease in the 2024 Conversion Factor that is used to calculate physician payments. According to a history from the American Medical Association […]

Sarasota, FL (WorkersCompensation.com) – Let’s face it, medical billing is complicated! The regulations and payer rules change on a daily basis, and the volume of information reviewed and regulated is astounding, with incorrect claims easily […]

Sarasota, FL (WorkersCompensation.com) – In 2018, the Centers for Medicare & Medicaid Services (CMS) removed Total Knee Arthroplasty (TKA) procedures, also known as total knee replacement, from the Inpatient Only List, allowing the procedures to […]

Sarasota, FL (WorkersCompensation.com) – According to the U.S. Department of Health and Human Services breach portal, there have already been 26 reports of healthcare data breaches reported so far this month. Of those, 18 cases […]

The Centers for Medicare and Medicaid Services (CMS) announced the expansion of its Amended Review policy to significantly more MSAs in the latest update to its WCMSA Reference Guide, Version 3.9. The Amended Review process was […]

n an update to its Section 111 MSP Mandatory Reporting User Guide (Version 7.1 Chapter III Policy Guidance) CMS made clear that in a subscription insurance policy arrangement, the lead insurer is solely responsible for […]