Category Archives: Medicare

Video: Section 20 Lump Sum Dismissals and Medicare Secondary Payer in New Jersey

Attorney Greg Lois discusses the availability of a lump-sum dismissal settlement in New Jersey Workers’ Compensation cases. The presentation looks at the limitations on this type of compromise in the statute (N.J.S.A. 34:15-20), the rules (N.J.A.C. 12:235-13.1) and the case law. Attorney Lois reviews the barriers to Section 20 settlements and presents practical advice and opinion on obtaining the dismissal in court. The discussion also include an overview of the Medicare Secondary Payer Act as a barrier to full compromise settlements in New Jersey, with practical tips for resolving cases quickly.

Subject: New Jersey, Workers’ Compensation Law, Exposure, Permanency, MMI
Date Presented: January 22, 2018
Presenter: Greg Lois
Run time: 34:34

Continue reading Video: Section 20 Lump Sum Dismissals and Medicare Secondary Payer in New Jersey

Medicare Secondary Payer Set-Asides and Conditional Payments in New York Workers’ Compensation Cases

Attorney Declan Gourley leads a presentation designed to help the attendee answer the following questions: “Can I settle this case?” and “Does Medicare have a current interest I need to consider?” and “Do I need to consider Medicare’s future interest?” Presenter Declan Gourley has years of experience representing claimants before the Social Security law judges and employers and carriers before the Workers’ Compensation Board. At the end of the presentation, the attendees will have a basic understanding of Medicare Secondary Payer exposure and when they need to consider Medicare’s interest in a lump-sum settlement.

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Continue reading Medicare Secondary Payer Set-Asides and Conditional Payments in New York Workers’ Compensation Cases

Video: Medicare Secondary Payer Issues in New Jersey Section 20 Settlements

Here is the post-webinar video from our most recent presentation, “Medicare Secondary Payer Issues in New Jersey Workers’ Compensation Cases” from our New Jersey workers’ compensation webinar training series.

Subject: New Jersey, Workers’ Compensation Law, Medicare Secondary Payer, Section 20, Conditional Payments
Date Presented: January 23, 2017
Presenter(s): Greg Lois, Esq.
Run time: 29:27 Continue reading Video: Medicare Secondary Payer Issues in New Jersey Section 20 Settlements

Video: Medicare Secondary Payer Issues in New York Workers’ Compensation Claims

Here is the post-webinar video of our most recent presentation, “Medicare Secondary Payer Issues in New York Workers’ Compensation Claims” from our New York workers’ compensation webinar training series. Attorneys Declan Gourley and Greg Lois discusses Medicare Secondary Payer exposure and how it effects the settlement via Section 32 in New York workers compensation matters.

Subject: New York, Workers’ Compensation Law, Medicare Secondary Payer, Conditional Payments, Section 32
Date Presented: January 16, 2017
Presenter(s): Declan Gourley, Esq. and Greg Lois, Esq.
Run time: 21:46 Continue reading Video: Medicare Secondary Payer Issues in New York Workers’ Compensation Claims

The Impact of a Social Security Disability Award on New York Workers’ Compensation Benefits

Joseph Melchionne
Joseph Melchionne, Esq.

Social Security Disability Insurance (SSDI) provides protection for injured people who need to return to work without compromising

their rights to other federal and/or state benefits.  According to the Social Security Administration, someone is “disabled” if they are not able to work as the result of an illness or injury that will last for at least twelve (12) months.

SSDI Requirements.

In order to qualify for SSDI a person:

  • must be younger than 65 years of age,
  • must have worked in a job that is covered by Social Security, and
  • must have suffered from an illness or injury that meets the aforementioned Social Security definition of “disability.”

If all of the aforementioned criteria is met, Social Security will provide monthly cash benefits to individuals who are unable to return to work for at least one (1) year because of their impairment. Continue reading The Impact of a Social Security Disability Award on New York Workers’ Compensation Benefits

Post-webinar video: Medicare Secondary Payer Act and New Jersey Settlements

Here is the post-webinar video from our most recent presentation, “Medicare Secondary Payer in New Jersey.”  Three New Jersey attorneys introduce the topic and provide an overview of the interplay between the Medicare Secondary Payer Act and New Jersey Section 20 settlements.

Join us for our monthly webinars on New York and New Jersey workers’ compensation law. Click here to register. The complete archive of prior presentations is here.

Subject(s): Medicare Secondary Payer, Section 20, New Jersey
Date Presented: January 25, 2016
Presenter(s): Joe Jones, Esq., Michael Tomasino, Esq., and Greg Lois, Esq.
Run time: 24:14 Continue reading Post-webinar video: Medicare Secondary Payer Act and New Jersey Settlements