Boca Raton, FL – The National Council on Compensation Insurance (NCCI) recently released a new brief on 2022 Medicare Fee Schedules and Workers Compensation. The Centers for Medicare and Medicaid Services (CMS) updates its reimbursement rules and rates for medical services each year. This article will discuss and compare the most relevant changes in its… [Read more]
Claims, Legal, & Compliance News
CorVel Releases New Integrated Claims Risk Score for Workers’ Comp Claims
Fort Worth, TX – CorVel Corporation (NASDAQ: CRVL), a national provider of risk management solutions, has launched a new Claims Risk Score interface in CareMC Edge®, CorVel’s integrated claims management platform. The new functionality leverages artificial intelligence and predictive analytics to identify which claims might go off track and provides actionable intervention recommendations to impact… [Read more]
Spear Technologies Announces FrankCrum as New Customer
Corte Madera, CA – Spear Technologies recently announced FrankCrum as the latest customer to select SpearClaims. FrankCrum is a family of companies, consisting of FrankCrum PEO (a professional employer organization), FrankCrum Staffing, and Frank Winston Crum Insurance. “We’re excited to work with this organization. It has a deep history, providing customers with excellent service for… [Read more]
Sedgwick Announces Managed Care Services Now Available as Independent Offering
Memphis, TN – 2022 – Sedgwick recently announced that it is now offering its well-established managed care solutions independent of claims administration. These solutions provide the insurance industry and employers with additional choices for administering care for their employees and policyholders. Knowing that insurance carriers and employers have different systems, needs and workflows, Sedgwick’s independent managed… [Read more]
CLARA Analytics Launches Optics with Wide Range of Alerts
Santa Clara, CA – CLARA Analytics recently announced the release of CLARA Optics, which uses AI and machine learning to scan, sort and analyze bills and medical documents to create a claim-based medical record. CLARA Optics not only lowers claims operating expenses but also drives better medical outcomes for commercial claims with deep insights and… [Read more]
FL Headed to Trial with Walgreens Over Opioid Crisis
Tallahassee, FL – Following more than $3 billion in recoveries from defendants in Florida’s historic opioid litigation, one remains—Walgreens. Attorney General Ashley Moody recently announced that the State of Florida will be in trial to hold Walgreens accountable for its role in helping create and fuel the deadly opioid crisis devastating Florida families and draining… [Read more]
FL Attorney General Moody Announces $870 Million+ Opioid Settlement
Tallahassee, FL – Attorney General Ashley Moody recently announced the securement of more than $870 million for opioid abatement from CVS Health Corporation, CVS Pharmacy, Inc., Teva Pharmaceuticals Industries Ltd. and Allergan PLC. CVS will now pay $484 million to the State of Florida, Teva will pay nearly $195 million, and Allergan will pay more… [Read more]
NYS Inspector General Releases Workers’ Compensation Fraud Annual Report
Albany, NY – New York State Inspector General Lucy Lang recently released her Office’s 2021 Workers’ Compensation Fraud Annual Report and also recognized 111 years since the Triangle Shirtwaist Factory Fire—a pivotal event in the history of American labor that changed worker protections forever. The fire, which remains one of the deadliest workplace tragedies in… [Read more]
NCCI Releases Court Case Retrospective Report for 2018-2021
Baton Rouge, LA – NCCI recently released a Court Case Update Retrospective: 2018-2021. In 2018, NCCI’s Legal Division began providing reports on workers compensation (WC)-related cases that could impact and shape the future of the industry. To date, the division has reported on nearly 200 cases and decisions addressing important topics such as exclusive remedy,… [Read more]
CA DWC Announces Return to In-Person Hearings on March 21
San Francisco, CA – The Division of Workers’ Compensation (DWC) today announced in-person hearings will resume at all DWC district offices except Eureka beginning March 21, 2022. In-person hearings will consist of trials, lien trials, expedited hearings and special adjudication unit (SAU) trials only. The Eureka district office is now a virtual office, and satellite… [Read more]