December 17, 2017

Ohio Cleaning Company Owner Soils Record in Workers’ Comp Scheme

A northwest Ohio woman with lapsed workers’ compensation coverage pleaded guilty last month to felony charges of tampering with records after investigators found she obtained new coverage under her employees’ names to avoid paying her debt to the Ohio Bureau of Workers’ Compensation (BWC). Donna Roethlisberger, owner of Complete Cleaning of Northwest Ohio, pleaded guilty to two third-degree felony counts of tampering on July 20 in the Putnam County Court of Common Pleas. Third-degree felonies carry…[Continue Reading]

Travelers: Injured Employee Opioid Use Cut by 30 Percent Since 2015

Hartford, CT – The Travelers Companies, Inc., (NYSE: TRV) recently reported a 30 percent reduction in the use of opioids among the more than 500,000 injured U.S. employees it has helped since 2015. This has been achieved primarily through the use of the company’s Early Severity Predictor model. The model identifies the likelihood that someone will develop chronic pain – a leading cause of opioid dependency. Travelers shares the Early Severity Predictor results with the injured employee’s…[Continue Reading]

CA DIR and Division of Workers’ Compensation Suspend Two Providers 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: Fermin Iglesias, a provider of durable medical equipment based in Glendale, pled guilty to federal charges of participating in a fraud scheme in which injured workers were…[Continue Reading]

CA DWC Schedules Lien Consolidation Proceedings for Suspended Providers

San Francisco, CA – The Department of Industrial Relations’ (DIR) Division of Workers’ Compensation (DWC) recently announced that it has scheduled lien consolidation proceedings in August for suspended providers Michael D. Drobot, Michael R. Drobot and Philip A. Sobol. Combined, the three have approximately 13,000 liens, which have been consolidated pursuant to the Chief Judge’s order, in the workers’ compensation system pending further determination. Michael D. Drobot, former CEO and owner of…[Continue Reading]

One Call Expert: Using Data, Technology and Prevention to Reduce Workers’ Comp Claims Risk

Jacksonville, FL – How to use the latest technologies and programs to prevent injuries, heal and keep employees healthy was the topic of “Managing Risk: Prepare, Predict and Prosper,” presented August 7 at the Workers’ Compensation Institute’s 72nd annual Workers’ Compensation Educational Conference in Orlando. “The proliferation of smart technology and predictive analytics is revolutionizing the way injured employees receive treatment, which is leading to a healthier workforce,” said Michelle…[Continue Reading]

CA DWC Medical Unit Accepting Applications for October 2017 Qualified Medical Evaluator Examination

San Francisco, CA – The Division of Workers’ Compensation (DWC) is now accepting applications for the Qualified Medical Evaluator (QME) examination on October 21, 2017. QMEs are independent physicians certified by the DWC Medical Unit to conduct medical evaluations of injured workers. Applications for the QME exam may be downloaded from the DWC website. Applicants may also contact the Medical Unit at 510-286-3700 to request an application via U.S. mail, email or fax…[Continue Reading]

Jopari Participates in Cross-industry Coalition Urging CMS to Set Attachment Standards

Jopari Solutions

Concord, CA – Jopari Solutions, along with representatives from many of the key industry organizations, technology vendors, payers, and providers, presented to The Division of National Standards, CMS on July 18, collectively urging CMS to establish standards for Attachments. Attachment Standards have been part of the original…[Continue Reading]

One Call and Spreemo Health Announce Strategic Partnership

One Call Care Management

Jacksonville, FL – One Call Care Management and Spreemo Health recently announced a new strategic partnership to improve the quality and value of radiology services for patients across the country. By aligning One Call’s high-quality, broad-access network, operational expertise and proven claims management process with Spreemo’s industry…[Continue Reading]

CWCI Study Analyzes Impact of California’s Proposed Formulary and Drug List

California Workers Compensation Institute (CWCI)

Oakland, CA – More than 30 percent of the prescription drugs currently dispensed to injured workers in California will be classified as “Exempt Drugs” and will no longer require authorization prior to dispensing under conditions outlined in the Workers’ Compensation Prescription Drug Formulary regulations proposed by the state, according to…[Continue Reading]

WiserTogether Partners with Peers Health on Guidance Solution for Workers’ Comp

WiserTogether-Logo2

Boston, MA – WiserTogether recently announced a partnership with Peers Health and the launch of the Return to Health® healthcare treatment platform for Disability and Workers’ Compensation Markets. This solution is an enhanced version of the company’s flagship Return to Health® platform specifically designed to address the unique…[Continue Reading]

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