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Entries for the 'Social Security/Medicare' Category

Jon Gelman Listed in Best Lawyers in America 2018

Jon Gelman has been listed again to Best Lawyers in America®. This recognition has been bestowed upon him for almost 2 decades. 

Now you can have Now you can have Workers’ Compensation Law, 3d (Vol. 38-39A, NJ Practice Series, available conveniently on your mobile device.

The Occupational Disease Pilot Program & Healthcare

Legal Talk Network Host and Attorney Alan S. Pierce welcomes Jon L. Gelman to discuss health care and workers’ compensation and the Occupational Disease Pilot Program:

Hot Topics in Workers' Compensation 2009 Seminar

This seminar will provide practitioners with new strategies and techniques to handle workers' compensation cases in the changing economy.This fast-paced program features a panel of some of the most respected New Jersey Workers' Compensation Judges and attorneys, who will review and provide insight on the top issues and cases that have emerged during the past year.

Is The Recovery Of The Workers’ Compensation System An Illusion?
The present economic downturn has been compared to the Great Depression of the 1930’s or the recession of the 1980’s. The factors that existed during ...
The New Economic Recovery Act Fails to Include Workers' Compensation Privacy Needs

The new stimulus package, The American Recovery and Reinvestment Act [ARRA], fails to protect medical record privacy for injured workers. The new economic recovery package includes an appropriation of $19 Billion for the expansion of electronic health records [EHR] by funding intellectual technology. The legislation fails to include an essential prohibition on the dissemination and misuse of workers' compensation medical records.

Our modern electronic world has many benefits and conveniences, but the free flow of information also creates privacy concerns. In the realm of health care, privacy protections are needed to preserve patients’ dignity and prevent harms such as discrimination. But such protections can also have unintended consequences for health care, and the health research that is vital for making medical advances. More than 10 years ago Congress called for a set of federal standards, now known as the HIPAA Privacy Rule, to protect the privacy of personally identifiable health information while still allowing the flow of information needed to promote high-quality health care.

CMS Begins to Roll Out Details of The Mandatory Insurance Carrier Registration Progress-Teleconference Oct. 1, 2008

Implementation of the mandatory insurance company reporting process mandated pursuant to Section 111 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (See 42 U.S.C. 1395y(b)(7)&(b)(8) have now been unveiling by CMS.

Proposed CMS Legislation Cannot be Resuscitated Following the Wall Street Bailout

The efforts of the insurance industry to revive the previously fatally ill CMS reform legislation can be declared over and the life support disconnected following the Congressional actions to bailout Wall Street. The bill had been given a bounce, like a dead cat thrown against the ground, by the insurance industry, and some misinformed stakeholders, but economics and public opinion will not support the effort any longer.

 

CDC in Reviewing WCMSA Limits Review to One Life Expectancy Table

 Effective July 1, 2008 the Centers for Medicare and Medicad (CMS) will exclusively use the Centers for Disease Control (CDC) Table 1 (Life Table for Total Population) when determining life expectancy in Workers’ Compensation Medicare Set-Asides (WCMSA) proposals.

 Navigating the Medicare recovery system just became a whole lot easier with the deployment of the new website launched by the new national MSP Recovery Contractor (MSPRC).

Social Security Disability Backlog Is Again the Focus of a Congressional Hearing

Congressional interest in the disability claims backlog and SSA's need for adequate funding continues. On April 23, 2008, a four-hour hearing was held by the full House Ways and Means Committee, which is chaired by Rep. Charles Rangel (D-NY) .

A recent study by the federal government reports that some disabled workers who receive workers' compensation or public disability benefits may be worse off economically than if they had not claimed multiple benefits.

Economic Stimulus Helps Social Security Beneficiaries and SSA

The final economic stimulus package, passed by both the House of Representatives and the Senate, will provide “rebates” to millions of Social Security beneficiaries. The legislation was signed into law by the President on February 13, 2008. All Title II beneficiaries who meet the rebate eligibility criteria – including disabled beneficiaries – will receive the rebate.

The Centers for Medicare and Medicaid Services (CMS) has issued a final rule to tighten its procedure in collecting conditional payments made in workers' compensation actions.. On February 22, 2008 the Department of Health and Human Services published a final rule in its program to strengthen CMS's ability to collect payments under the Medicare Secondary Payer (MSP) Amendments.

Workers' Compensation medical benefits continue to be up for grabs as the US Presidential Primaries continue. The problematic medical compensation delivery system continues to provide little cost containment, high administrative costs and continues to drain the system by endless delay hampering the delivery of effective medical care.

A new law on the books introduced in the Senate on Dec. 18, 2007 and signed by the President on December 29, 2007 is going to have significant impact on how the workers' compensation system operates in the future concerning Medicare Secondary Payer (MSP) issues.

As the new political and legislative year unfolds, stakeholders are keeping their eye on the prize, medical benefits, in the workers' compensation arena. Recent court decisions continue to emphasize the major significance of medical care and continue to question the ability of the presently crafted system to deliver medical benefits in an efficient and effective manner.

Clearing the Workers’ Compensation Benefit Highway of Medical Expense Land Mines

Medical expenses in contested workers’ compensation cases are now a significant and troublesome issue resulting in uncertainty, delay and potential future liability. The recent NJ Supreme Court decision, University of Mass. Memorial Hospital v. Christodoulou, 180 N.J. 334 (2004) has left the question of how to adjudicate medical benefits that were conditionally paid or paid in error. Presently there is no exclusively defined procedure to determine the allocation, apportionment of primary responsibility for unauthorized medical expenses and reimbursement.

Workers' Compensation News - May 10, 2007, Vol. 5 Issue 105

CLEARING THE WORKERS' COMPENSATION BENEFIT HIGHWAY OF MEDICAL EXPENSE LAND MINES 
Medical expenses in contested workers’ compensation cases are now a significant and troublesome issue resulting in uncertainty, delay and potential future liability. The recent NJ Supreme Court decision, University of Mass. Memorial Hospital v. Christodoulou, 180 N.J. 334 (2004) has left the question of how to adjudicate medical benefits that were conditionally paid or paid in error. Presently there is no exclusively defined procedure to determine the allocation, apportionment of primary responsibility for unauthorized medical expenses and reimbursement. By John H. Geaney and Jon L. Gelman

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