December 15, 2017

Lief Goodson: Calculating the Value of Case Management

Lief G Goodson

In Part 1, we discussed clinical specialization and its role within the framework of medical case management. Nursing resources with expertise and advanced training in specific focus areas, such as surgery and polypharmacy, are engaged to provide consultative services on complex, high-dollar claims. As case management processes and workflows are redesigned…[Continue Reading]

NCCI President & CEO Stephen J. Klingel to Retire in 2016

NCCI Holdings, Inc.

Boca Raton, FL – The National Council on Compensation Insurance (NCCI) recently announced that President and Chief Executive Officer Stephen J. Klingel plans to retire in February 2016. “It’s been a great pleasure to act as NCCI’s President and CEO for the past twelve years,” Steve said in announcing his retirement. “NCCI is a tremendous…[Continue Reading]

Patriot National Announces Preliminary Results for Fourth Quarter 2014

Patriot National

Ft. Lauderdale, FL -(PRNewswire)- Patriot National, Inc. (NYSE: PN), a national provider of outsourcing solutions to the workers’ compensation insurance industry recently announced certain unaudited preliminary financial results for its fourth quarter ended December 31, 2014. Patriot National expects to report revenue in the…[Continue Reading]

Hotline Tip Leads Ohio BWC SID to Man Committing Workers’ Comp Fraud

Ohio BWC

Columbus, OH – Gregory Barnett, of Huron (Erie County), pleaded guilty Feb. 4 in Franklin County Court of Common Pleas and was sentenced on one count of workers’ compensation fraud, a first-degree misdemeanor. He agreed to repay $1,125 in restitution. BWC received a tip on its fraud hotline that Barnett was working while receiving BWC benefits…[Continue Reading]

WorkCompRecap: Reports & Results!

Today’s issue of WorkCompRecap features the US Bureau of Labor Statistics’ recent release of fatal injury statistics for the New York-Northern New Jersey-Long Island area. The BLS found that there were 152 fatal work injuries in the area 2013, and while the figure is preliminary, it indicates a decrease of 32 fatalities over 2012…[Continue Reading]

BLS Reports Decline in Fatal Work Injuries in New York Area in 2013

BLS

New York, NY – The U.S. Bureau of Labor Statistics recently reported fatal work injuries totaled 152 in 2013 for the New York-Northern New Jersey-Long Island, N.Y.-N.J.-Pa. Metropolitan Statistical Area. Chief Regional Economist Martin Kohli noted that while the 2013 count was preliminary, the number of work-related fatalities…[Continue Reading]

ExamWorks Reports Fourth Quarter 2014 Financial Results

ExamWorks

Atlanta, GA – ExamWorks Group, Inc. (NYSE: EXAM), a provider of independent medical examinations, peer reviews, bill reviews, Medicare compliance, case management, and other related services (“IME services”), recently reported financial results for the fourth quarter of 2014. Revenues for the fourth quarter of 2014 were $202.1 million…[Continue Reading]

CA DWC Posts Adjustments to OMFS (Physician Svcs/Non-Physician Practitioner Svcs)

CA Division of Workers' Compensation

San Francisco, CA – The Division of Workers’ Compensation (DWC) has posted an order adjusting the Physician Services/Non-Physician Practitioner Services section of the Official Medical Fee Schedule (OMFS) to conform to relevant 2015 changes in the Medicare payment system as required by Labor Code section 5307.1. The Physician…[Continue Reading]

The Main Street America Group Promotes Jeff Kusch, Tiffany Daly

Main Street America Group

Jacksonville, FL – The Main Street America Group, a super-regional property/casualty insurance company, has announced the appointments of Jeff Kusch to senior vice president/head of field operations and Tiffany Daly to president of its Western Region. “These internal promotions will enable us to leverage the leverage the leadership…[Continue Reading]

WorkCompRecap: Recovery & Response!

Today’s issue of WorkCompRecap features the TDI-DWC’s announcement that it recently conducted performance audits of several insurance carriers on the accuracy of payments of Lifetime Income and Death Benefits. and found underpayments on 64 claims totaling over $511,000. The Division noted common compliance…[Continue Reading]

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