WASHINGTON — The U.S. Department of Labor’s Office of Workers’ Compensation Programs today released a final rule that revises and modernizes the procedures used in administering claims under the Federal Employees’ Compensation Act. The rule, published in the June 28 Federal Register, modernizes those procedures to increase fairness and efficiency, updates the regulations to account… [Read more]
Claims, Legal, & Compliance News
Total Managed Care Selects DataCare UR & Case Management Software
SAN JOSE, Calif. /PRNewswire/ — After a thorough evaluation, Total Managed Care, Inc., a leading provider of medical managed care services, has selected DataCare’s Utilization Review and Case Management software to create an electronic workplace for coordinating medical management of workers’ compensation cases. “At Total Managed Care, we continue to invest in leading-edge technology that… [Read more]
New Hampshire Bumps Weekly Workers’ Comp Rates
The maximum weekly compensation rate under the New Hampshire Workers’ Compensation Law will increase from one thousand two hundred seventy-six dollars and fifty cents ($1,276.50) to onethousand three hundred seventeen dollars ($1,317.00) effective July 1, 2011. In order for an injured employee to receive the maximum benefit, the employee must have an average weekly wage… [Read more]
OSHA Seeking Comments on Revisions to Reporting Requirements
WASHINGTON – The Occupational Safety and Health Administration has announced in a Notice of Proposed Rulemaking an update and revision of two aspects of the agency’s recordkeeping and reporting requirements for work-related injuries and illnesses. “These proposed recordkeeping updates will better enable OSHA, employers and workers to identify hazards in high-risk worksites,” said Assistant Secretary… [Read more]
Windham Group Job Fit Analysis Solution Lands Several New Markets
Manchester, NH (PRWEB) – Windham Group, provider of Return to Work Solutions to the workers compensation/healthcare industry and directly to employers today announced that their proprietary Job Fit Analysis solution has successfully been introduced to several new key markets. With the help of Windham Group’s Job Fit Analysis (JFA) claims adjusters have resolved more than… [Read more]
CA DWC Preps for Launch of JET File
The Division of Workers’ Compensation (DWC) is preparing for the June 27 launch of JET File, a new fast, flexible and reliable electronic filing option for the workers’ compensation courts. Designed and built in conjunction with external users for those annually filing 100 or more of any one of the six most common court forms,… [Read more]
Data Analysis Exposes Workers’ Comp Billing Fraud
COLUMBUS – A pair of Illinois brothers who traveled to Columbus to practice psychiatry were sentenced for workers’ compensation fraud after an investigation showed they were conducting inadequate examinations of injured workers and submitting false bills to the Ohio Bureau of Workers’ Compensation (BWC). Muhammed S. Choudhry, M.D., owner and practitioner at Nehal Psychiatric Group,… [Read more]
Mitchell International Partners with Rockport Healthcare Group
San Diego, CA—Mitchell International, Inc., a leading provider of technology, connectivity and information solutions to the Property & Casualty claims and Collision Repair industries, today announced that the SmartAdvisor™ XML Partner Bridge is now available throughout Rockport Healthcare Group’s provider network. Rockport provides one of the country’s most comprehensive work-related injury and illness networks with… [Read more]
Jopari: CA Workers’ Comp Payers Need to Take Immediate Action to be eBilling Compliant
CONCORD, CA — Jopari Solutions, Inc., a supplier of Workers’ Compensation and Auto Medical eBilling and ePayment products, explained today that the impact of the October 15, 2011 deadline under the state’s recently released Electronic and Standardized Billing Regulations may not be fully understood by California workers’ compensation payers. On and after that date, all… [Read more]
CA Division of Workers’ Compensation Restores Missing Codes in Pharmaceutical Pricing Calculator
The Division of Workers’ Compensation (DWC) has posted a revised pharmaceutical price file to its Web site so parties downloading the data file or using the price calculators will be able to access prices for national drug codes (NDCs) that were not available in recent downloads from the Department of Health Care Services (DHCS) database.… [Read more]