MOUNT LAUREL, N.J., /PRNewswire/ — Newly board-certified case managers have typically waited six weeks or more to find out whether they passed the nation’s oldest and most respected certification exam. Now, candidates for the prestigious CCM® credential receive immediate feedback via Immediate Preliminary Scoring, one of two new services recently launched by the Commission for… [Read more]
Claims, Legal, & Compliance News
ACE Ltd. Subsidiaries Disciplined for Workers Compensation Violations in Texas, Highlights ACE Litigation Watch
NEW YORK–(BUSINESS WIRE)–ACE Insurance Litigation Watch, the online repository for lawsuits and complaints against the ACE Group (NYSE: ACE) insurance companies, today highlighted two recent disciplinary actions taken against the ACE Ltd. subsidiaries by the Texas Commissioner of Workers Compensation. These disciplinary actions, which require the ACE Ltd. subsidiaries to pay $116,000 in administrative penalties,… [Read more]
CA DWC Updates Utilization Review Info
The Division of Workers’ Compensation (DWC) has updated and posted answers to frequently asked questions (FAQs) about utilization review (UR) on its Web site to help claims administrators, employers and workers better understand UR rules and to address the typical questions that arise in the UR process. The updated FAQs add in a new topic… [Read more]
ExamWorks Completes Acquisition of MES Group, Inc.
ATLANTA, GA. –ExamWorks Group, Inc. (NYSE: EXAM) today announced the closing of its acquisition of MES Group, Inc. ExamWorks paid total consideration consisting of (i) $175 million in cash, (ii) 1,424,501 shares of Company common stock, and (iii) $10 million of assumed indebtedness under MES’ credit facility, which was paid off at closing. About ExamWorks… [Read more]
Oregon Department of Consumer and Business Services IMD Releases WC Hearings Division Report
Today the Oregon Department of Consumer and Business Services Information Management Division (IMD) released its Workers’ Compensation Hearings Division Statistical Report, which covers cases seen by the Workers’ Compensation Board’s Hearings Division. The Hearings Division Statistical Report provides the following information about closing hearing orders in the given calendar year: case counts, order types, issues,… [Read more]
Sedgwick CMS Completes Acquisition of Specialty Risk Services
MEMPHIS, Tenn. /PRNewswire/ — Sedgwick Claims Management Services, Inc. (Sedgwick CMS) announced today that it has completed its purchase of Specialty Risk Services, LLC (SRS) from The Hartford Financial Services Group, Inc. (NYSE: HIG) for $278 million. The acquisition brings to Sedgwick CMS the people, business resources and alternative market presence of SRS, which provides… [Read more]
CA DWC Issues Third 15-day Notice of Revisions to Medical eBilling and Standardized Paper Medical Billing Regulations
The Division of Workers’ Compensation (DWC) has further modified its proposed regulations to adopt standardized paper medical treatment billing forms and electronic medical billing standards. The third 15-day notice of modification has been posted on the DWC Web site. Medical e-billing regulations will encourage electronic billing and faster payments to physicians and are part of… [Read more]
Record $830,000 Returned to Ohio Bureau of Workers’ Compensation Following Fraud Conviction
COLUMBUS – The Ohio Bureau of Workers’ Compensation (BWC) has received a record $830,000 in restitution from an Akron area anesthesiologist five years after his conviction in an insurance fraud case that captured national attention and sent him to prison for life. Dr. Jorge Martinez was convicted in 2006 on 56 criminal counts stemming from… [Read more]
Texas Division of Workers’ Compensation Releases Latest Issue of Texas WC Update Newsletter
The Texas Department of Insurance recently published the latest issue of its Texas Workers’ Compensation Update newsletter. Highlights from this issue of the semi-annually released newsletter include: Recent Rule Adoptions Recent Reports & Sunset Recommendations Changes to the Medical Quality Review Procedure (MQRP) 2011 Audit Plans TDI-DWC Medical Advisor Profiles 2010 Performance Based Oversight (PBO)… [Read more]
Texas Division of Workers’ Compensation Announces January Enforcement Actions
AUSTIN, TX – Commissioner of Workers’ Compensation Rod Bordelon recently announced final disciplinary actions taken by the Texas Department of Insurance, Division of Workers’ Compensation (TDI-DWC). The final actions include orders related to violations of the Texas Labor Code and rules promulgated by the Commissioner of Workers’ Compensation. Copies of Commissioner of Workers’ Compensation orders… [Read more]