Chicago, IL – Experts from Rising Medical Solutions’ sixth annual Workers’ Compensation Benchmarking Study will share 2018 research results in an upcoming webinar. The discussion will focus on solutions for a key dilemma that threatens effective claims management and organizational viability year after year – ever-escalating medical costs. Entitled “Advancing Medical Management,” this free webinar… [Read more]
Claims, Legal, & Compliance News
CA DWC Medical Unit Accepting Applications for QME Exam on April 13
San Francisco, CA – The Division of Workers’ Compensation (DWC) is now accepting applications for the Qualified Medical Evaluator (QME) examination on April 13. 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… [Read more]
TX Company to Pay a Quarter Million Dollars to Settle Workers’ Comp Fraud Case
Austin, TX – A Houston company recently pleaded guilty to workers’ compensation premium fraud in a case that spanned four years. Alpha Mar, which makes custom parts for various industries, entered the plea in a Travis County District Court. The company was ordered to pay $250,000 to Texas Mutual Insurance Company, the workers’ compensation carrier.… [Read more]
TDI-DWC Offers New 2019 Health Care Provider and Staff Webinar Series
Austin, TX – The TDI-DWC recently announced that it will be offering free webinars covering administrative processes related to providing health care to Texas workers’ compensation injured employees. Webinar topics include: An overview of workers’ compensation health care provider roles and responsibilities intake and verification of coverage utilization review medical bill processing medical bill denials… [Read more]
NC Industrial Commission: $3.2 Million in Penalties Collected in Two Quarters
Raleigh, NC – The Industrial Commission’s Compliance and Fraud Investigative Division continues to identify businesses out of compliance with the Workers’ Compensation Act. At the end of the first two quarters of Fiscal Year 2018-19, the Compliance and Fraud Investigative Division collected over $3.2 million in penalties and issued 289 criminal charges. The Division is… [Read more]
Tower MSA Partners Launches Quarterly Webinar Series
Delray Beach, FL – Tower MSA Partners is launching a free, quarterly webinar series to help payers become more proficient in settling workers’ compensation claims, Medicare Secondary Payer compliance and Medicare Set-Asides. The first webinar on January 23 at 2 p.m. Eastern features a special guest instructor, Kerri Poe, CSCC, on the topic “Simple Cost… [Read more]
Sedgwick Highlights Industry Trends for 2019
Memphis, TN – Sedgwick recently announced the publishing of its “Forward thinking 2019” list, which includes major industry trends employers and risk management professionals should watch this year. In 2019, Sedgwick is also celebrating its 50th anniversary. In honor of this special milestone, the company is embarking on a yearlong exploration of the Sedgwick journey… [Read more]
Genex Services Acquires Excel Managed Care, Expands Clinical Services
Wayne, PA – Genex Services recently announced its acquisition of Excel Managed Care & Disability Services, an established provider of occupational and non-occupational medical case management, utilization review and return-to-work services for the workers’ compensation and disability markets. With this acquisition, Genex – already the largest case management company in the U.S. – increases its… [Read more]
WCRI Study: TX Workers’ Compensation Medical Costs per Claim Decreased Since 2014
Cambridge, MA – Medical payments per workers’ compensation claim in Texas decreased from 2014 to 2016 for claims with more than seven days of lost time, evaluated as of 2017. This followed several years of increasing medical costs, according to a recent study by the Workers Compensation Research Institute (WCRI). “Payments for nonhospital care were… [Read more]
Workers’ Comp Benchmarking Study Releases 2018 Annual Report on Advancing Medical Management
Chicago, IL – Since the Workers’ Compensation Benchmarking Study launched in 2013, claims leaders have consistently ranked medical management as the core competency most critical to claim outcomes. With medical costs representing more than 60 percent of claims costs in many jurisdictions, the study’s Advisory Council recommended the 2018 study further investigate how high performing… [Read more]