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Medicare beneficiaries are the fastest growing group of opioid use disorder (OUD) patients. In fact the number of Medicare beneficiaries diagnosed with OUD has increased by almost 400% over the last decade. Yet only 1 out of 5 people with OUD receive specialty addiction treatment. Starting...

On 07/19/2019, the Food and Drug Administration approved generics for the popular medications Lyrica (pregabalin). Pregabalin is prescribed for fibromyalgia, peripheral neuropathy, neuropathic pain associated with spinal cord injuries and postherpetic neuralgia. Pregabalin has also been prescribed for a variety of off-label conditions and has...

Not according to Medicare. As we have all come to learn, 42 C.F.R. §411.46(b) (2) of the Code of Federal Regulations provides that Medicare’s interest must be considered in the settlement of a workers’ compensation claim because “if a settlement appears to represent an attempt to...

So what do you do if you disagree with a decision from the Centers for Medicare & Medicaid Services (CMS) on a Workers’ Compensation Medicare Set Aside approval amount, or if the claimants treatment/Rx regimen has changed significantly since the original CMS approval of the...

As we celebrate our 10 Year Anniversary this month, the staff at Axiom National wishes to convey our most sincere gratitude to our valued clients and partners who have entrusted us to provide solutions to their Medicare compliance needs.  Without your loyal support, we would...

The Centers for Medicare and Medicaid Services (CMS) has released a draft Request For Proposal (RFP) for a new Workers' Compensation Review Contractor (WCRC), as well as a Statement of Work (SOW).  It appears at this point that CMS anticipates awarding the new contract in...

On June 8, 2016 CMS announced they are considering expanding their voluntary Medicare Set-Aside Arrangements (MSA) amount review process to include the review of proposed liability insurance (including self-insurance) and no-fault insurance MSA amounts. Please see link below for additional details: https://www.cms.gov/Medicare/Coordination-of-Benefits-and-Recovery/Coordination-of-Benefits-and-Recovery-Overview/Whats-New/Whats-New.html    ...

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