NC Industrial Commission Unveiling New Integrated Case Management System
NC Industrial Commission Unveiling New Integrated Case Management System
News
The Centers for Medicare and Medicaid Services (CMS) Confirms Civil Monetary Penalty (CMP) Rules Regarding Mandatory Insurer Reporting for Non-Group Health Plans (NGHP)
CMS held a webinar on January 18, 2024, where it provided clarification of the rules regarding the issuance of CMPs for late Section 111 reporting of the ongoing responsibility for medicals (ORM)…
CMS to Demand Section 111 Reporting of Funds Set Aside for Future Medicals in Workers’ Compensation Settlements
The Centers for Medicare and Medicaid Services (CMS) is expanding the existing Section 111 reporting process to capture information on all workers’ compensation claims involving Medicare beneficiaries that receive a settlement (i.e.,…
CMS Increasing Threshold for Liability Settlements – Fixed Percentage Option
The Fixed Percentage Option Threshold will Increase to $10,000.00 for Liability Settlements on October 2, 2023 says The Centers for Medicare & Medicaid Services (CMS) Since November 7, 2011, the Centers for…
NC Legislature Clarifies ‘Extended Benefits’ Law
North Carolina’s Workers’ Comp Act, specifically N.C. Gen. Stat. 97-29(c), has a 500 week “cap” on entitlement to temporary total disability (TTD) benefits. The statute also provides an employee with the opportunity…
COA Issues Opinion On Extended Benefits
The Court of Appeals Issues Its First Opinion on Extended Benefits The Court of Appeals has issued its first opinion on extended disability benefits, which came into being following the 2011 amendments…
A Second Bite at the WCMSA Apple?
The Centers for Medicare & Medicaid Services (CMS) Removes Maximum Time Limit to use Workers’ Compensation Medicare Set-Aside Arrangement (WCMSA) Amended Review Process Do you have cases that you cannot settle due…
Recent Opinions at the Deputy Commissioner Level on COVID Claims
The Industrial Commission has issued two Opinions at the Deputy Commissioner level on COVID claims. Both claims involve pro-se claimants and there was no expert testimony; both claims were denied and no…
AB5: A New Standard for Worker Classification – Part 4
In several of our most recent articles, we discussed the potential impact of AB5 (California Labor Code § 2775); a law passed in California which went into effect on January 1, 2020…
NC Court of Appeals Clarifies Calculation of Underinsured Motorist Coverage
by Austin Walsh On 5/3/22, the North Carolina Court Appeals published its decision in Tutterow v. Hall, et al. and changed the way Underinsured Motorist (UIM) carriers calculate the coverage available for…