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Posted by: Marques Torbert on Sep 11, 2019

Below is an image of a true denial letter from CMS. The following document is a Medicare Summary Notice sent to a Medicare beneficiary. On page 2, you can see that a service was not approved, and looking at footnote E, CMS explains:

“Your claim has been denied by Medicare because you may have funds set aside from your settlement to pay for your future medical expenses and prescription drug treatment related to your injury(ies).”

Posted by: Porter Leslie on Sep 4, 2019

Injured individuals across the country are settling claims every day and often they have no idea how much a professional administrator could help maximize the money they receive for their ongoing medical care. 

Posted by: Jon Rehm on Aug 16, 2019

So in spite of the headline “Restoring the Death Penalty and other Reasonable Solutions to Workers’ Compensation Fraud”, I found myself agreeing with Robert Wilson’s post about increasing the criminal penalties for some forms of workers’ compensation fraud.

Posted by: Darragh Fitzpatrick on Jul 24, 2019

Microsoft Office 365 is growing in popularity as one of the most professional and functional cloud software suites available.  Microsoft estimates it is now being used by 1 in 5 business users, putting this cloud-based service on the radar of cybercriminals.  The greatest popularity of Office 365 resides in the financial services and manufacturing sectors, which are rich with potential plunder for these criminals.

Posted by: Mack Babcock on Jul 16, 2019

With marijuana becoming increasingly legalized nationwide, it’s also becoming more of an issue in matters of workers’ compensation. For this reason, lawmakers and workers’ compensation lawyers can no longer ignore the issue.


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