201707.25
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Use of Opioids in Wisconsin WC is Low and Aims to go Lower

As everyone involved in the administration of workers’ compensation claims knows, pain medication, particularly opioids, are notorious medical cost-drivers.  This is especially true when calculation potential liability or exposure for taking the interest of Medicare into account.  Wisconsin, however, seems to be making progress with respect to curbing the tide of opioid abuse. According to…

201705.18
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WI Supreme Court takes first look at 2013 law that disqualifies claimants from receiving unemployment benefits for “substantial fault.”

The May 4, 2017 Wisconsin Supreme Court decision in Lela Operton v. LIRC, 2017 WI 46, highlights the need going forward for employers denying unemployment benefits to present evidence that employee errors resulting in termination were not inadvertent. In Lela Operton v. LIRC, 2017 WI 46,  the Court interpreted, for the first time, a 2013…

201703.15
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Elimination of WC Review Board Sought by Governor Walker of Wisconsin

On February 8, 2017 Wisconsin Governor Scott Walker  submitted his 2017-2019 budget recommendations under Assembly Bill 64 and Senate Bill 30.  Therein, Governor Walker has proposed the elimination of the State’s Labor and Industry Review Commission (LIRC). Under current law, administrative law judge workers’ compensation decisions can be appealed to the LIRC, which is a…

201703.06
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A CMS Policy for LMSA Reviews is Imminent

The Centers for Medicare & Medicaid Services (CMS) recently issued documentation signaling that Liability Medicare Set-Asides (LMSAs) and No-Fault Medicare Set-Asides (NFMSAs) will be notated fields in CMS’ Common Working File. Effective October 1, 2017, Medicare Administrative Contractors will begin denying payment for services associated with an open LMSA or NFMSA record. The CMS Manual Update…

201702.24
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WCRI Study Shows High Worker’s Compensation Medical Costs in Wisconsin

According to a recent study from the Worker’s Compensation Research Institute (WCRI) comparing the price of providing worker’s compensation treatment in 31 large American states,  Wisconsin stands apart as far as the cost of treating injured workers. The study revealed that Wisconsin’s treatment prices were the highest of all the 31 states. To be sure,…