What’s Next for the WCRC? New Contract Awarded to Capitol Bridge, LLC

Since the Workers’ Compensation Review Contractor (WCRC) contract renewal process began in December 2016, the industry has been awaiting news: whether Provider Resources, Inc. (PRI) would be renewed as the WCRC or if CMS would go in a different direction and select a new entity as the contractor. We now have the answer: On September […]

Al Faber Receives IAIABC NextGen Award for Workers’ Comp Achievements

We are pleased to announce that the International Association of Industrial Accident Boards and Commissions (IAIABC) has selected Alfred Faber, director and division head of ISO Workers’ Compensation Solutions, as one of its 2017 NextGen Award winners. The IAIABC NextGen Awards were created to salute new talent and leadership in workers’ compensation as the industry […]

Making Sense of the WCMSA Reference Guide 2.6

When the Centers for Medicare and Medicaid Services (CMS) released the latest Workers’ Compensation Medicare Set-Aside (WCMSA) Reference Guide on July 31, 2017, we anticipated more insights to new processes; but the new guide presents as many questions as it proposes to answer. Questions remain about how limits to WCMSA re-reviews will play out and […]

Amended Review and Other Takeaways from the Latest WCMSA Reference Guide

On July 31st 2017, the Centers for Medicare and Medicaid Services (CMS) released its most recent version of the Workers’ Compensation Medicare Set-Aside Reference Guide—and there’s a lot to digest. We received some clarification about how CMS will implement the new “Amended Review” option we wrote about previously. CMS also provided “clarifications” and changes for […]

Opana ER Will Be Removed from the Marketplace

Opana ER will be voluntarily removed from the marketplace, per the announcement last week of manufacturer Endo International plc. This follows the FDA’s suggestion that we blogged about last month—and it is an important next step in the fight against opioid abuse. No date has been set to remove the medication, but we’re closely monitoring […]

Shiny New Features for the WCMSA Portal

The Centers for Medicare and Medicaid Services (CMS) recently released an updated Workers’ Compensation Medicare Set-Aside Portal (WCMSAP) manual in conjunction with substantial changes to the portal. The most significant change is a new WCMSA re-review request option — please find a comprehensive analysis of this change here. Features Affecting Beneficiaries Two portal changes are […]