Section 111 Reporting: ORM Termination Dates in North Carolina

Daniel Hayes and Tracey Jones

If a claimant in a workers’ compensation claim is a current Medicare beneficiary, the carrier has certain reporting obligations to the Centers for Medicare and Medicaid Services (CMS).  Under Section 111 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (MMSEA), the carrier’s Responsible Reporting Entity (RRE) must not only report any settlement as…

Four Common Types of Occupational Disease Lung Claims Compensable in North Carolina

Tracey Jones

Occupational diseases that attack injured workers’ lungs are often filed with the North Carolina Industrial Commission. The most common lung diseases include: (1) silicosis; (2) asbestosis; (3) byssinosis; and (4) occupational asthma. Silicosis and asbestosis are specifically enumerated in N.C Gen. Stat. § 97-53. Byssinosis and occupational asthma are not specifically enumerated under this statute,…

Defending Psychological Workers’ Compensation Claims in North Carolina: Part 4 of 4

Tracey Jones

This is the fourth and final article in a four-part series discussing different aspects of workers’ compensation psychological claims in North Carolina, including: Part 1: Psychological Claims Resulting from Physical Injury; Part 2: Non-Physical Injury by Accident Psychological Claims; Part 3: Non-Physical Occupational Disease Psychological Claims; and Part 4: Claims Handling Tips for Psychological Workers’…

Defending Psychological Workers’ Compensation Claims in North Carolina: Part 3 of 4

Tracey Jones

This is the third article in a four-part series discussing different aspects of workers’ compensation psychological claims in North Carolina, including: Part 1: Psychological Claims Resulting from Physical Injury; Part 2: Non-Physical Injury by Accident Psychological Claims; Part 3: Non-Physical Occupational Disease Psychological Claims; and Part 4: Claims Handling Tips for Psychological Workers’ Compensation Claims.…

Defending Psychological Workers’ Compensation Claims in North Carolina: Part 2 of 4

Tracey Jones

This is the second article in a four-part series discussing different aspects of workers’ compensation psychological claims in North Carolina, including: Part 1: Psychological Claims Resulting from Physical Injury; Part 2: Non-Physical Injury by Accident Psychological Claims; Part 3: Non-Physical Occupational Disease Psychological Claims; and Part 4: Claims Handling Tips for Psychological Workers’ Compensation Claims.…

Reminders for NC Adjusters When Requesting Medical Information from Treating Physicians

Tracey Jones

In the course of handling a workers’ compensation case, an adjuster will have to communicate with the employee’s treating physician to collect valuable medical information relevant to the diagnosis and ability to return to work. As noted in N.C.G.S § 97-25.6(c)(2), Written Communications with Healthcare Providers: Defendants may communicate with the Plaintiff’s authorized health care…

Defending Psychological Workers’ Compensation Claims in North Carolina: Part 1 of 4

Tracey Jones

This is the first article in a four-part series discussing different aspects of workers’ compensation psychological claims in North Carolina, including: Part 1: Psychological Claims Resulting from Physical Injury; Part 2: Non-Physical Injury by Accident Psychological Claims; Part 3: Non-Physical Occupational Disease Psychological Claims; and Part 4: Claims Handling Tips for Psychological Workers’ Compensation Claims.…