May 22, 2017

CA DIR & DWC Suspend Michael R. Drobot, Steven Howser for Fraud


San Francisco, CA – The Department of Industrial Relations (DIR) and its Division of Workers’ Compensation (DWC) have suspended two more medical providers from participating in California’s workers’ compensation system. DWC Acting Administrative Director George Parisotto issued Orders of Suspension for the following providers, who had…[Continue Reading]

GA “Pill Mill” Doctor Gets 10 Years for Role in AL Drug Distribution Conspiracy

US Attorneys Office Seal

Montgomery, AL – Acting United States Attorney A. Clark Morris recently announced that on Tuesday, May 9, 2017, Dr. Robert M. Ritchea, 54, of LaGrange, Georgia, was sentenced to serve 10 years in prison for operating a “pill mill” through his medical practice and for money laundering. A “pill mill” is a medical clinic created to dispense controlled…[Continue Reading]

Genex Services Honors Case Managers with 2017 Heart of Case Management Awards


Wayne, PA – Genex Services recently announced the winners of its 2017 Heart of Case Management Award. This is the second year of the national awards program spotlighting case managers at Genex Services, one of the nation’s largest providers of managed care services to the workers’ compensation, disability, and automobile…[Continue Reading]

NAMSAP Sets Venue and Dates for 2017 Annual Conference


Elmhurst, IL – The National Alliance for Medicare Set-Aside Professionals announced that the 14th Annual NAMSAP Educational Conference, the MSP Policy Palooza 2017, will be held September 27-29 in Baltimore. Designed for professionals who are involved in Medicare Secondary Payer compliance and Medicare Set-Aside allocation and preparation…[Continue Reading]

Today: Marsh Workers’ Comp Webcast: Strategies for Containing Pharmacy Costs


New York, NY – Marsh recently announced that Today, Wednesday, May 10, at 2 p.m. EDT, its Workers’ Compensation Center of Excellence will host the second installment of its four-part quarterly workers’ compensation webcast series in 2017. During the webcast, the panel will discuss strategies employers can use to: Reduce their use of…[Continue Reading]

RIMS Review: Tina Brletich on Quality Data and Quality Outcomes

Tina Brletich RIMS 2017

During our time at RIMS 2017, we had Workers’ Comp industry stakeholders participate in WorkCompWire’s “RIMS Review” series, focused on what to look for this year, and key takeaways from the conference! Here’s what Tina Brletich, RN, BSN, MBA, is Vice President of Product Strategy and Analytics at One Call Care Management[Continue Reading]

WCRI Study Examines Effects of Provider Choice Policies on Workers’ Comp Costs


Cambridge, MA – The Workers Compensation Research Institute (WCRI) recently released a new study titled The Effects of Provider Choice Policies on Workers’ Compensation Costs. The study found nuanced evidence about how provider choice policies are related to workers’ compensation medical and indemnity costs. According to…[Continue Reading]

Kura MD Enters Network Agreement with Coventry for WC Telemedicine Services

Kura MD

Roseville, CA – Injured workers will now be able to meet with physicians specialized in workers’ compensation injuries by phone or video when their employers participate in Coventry’s telemedicine program. Coventry is expanding its PPO Network offering to include Telemedicine network partners such as Kura MD. This use of telemedicine…[Continue Reading]

Sedgwick Introduces New “Whole Health” Solution


Memphis, TN – Sedgwick, a leading global provider of technology-enabled risk and benefits solutions, has partnered with Accolade, an on-demand healthcare concierge, to launch its new whole health solution. The proprietary program links Sedgwick’s experience and expertise in workers’ compensation, leave of absence and disability with…[Continue Reading]

Workers’ Comp Fraud Conviction Against TX Physician Affirmed

Texas Mutual

Austin, TX – The Third Court of Appeals in Austin has affirmed an Austin trial court’s 2014 conviction of Howard Douglas, III, M.D., of Frisco on felony fraud charges. Douglas was convicted and sentenced to five years’ imprisonment for overbilling Texas Mutual Insurance Company for medical evaluations performed on injured workers…[Continue Reading]

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