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You are here: Home / Archives for Claims, Legal, & Compliance News

Claims, Legal, & Compliance News

NCCI Releases New Brief on 2022 Medicare Fee Schedules and Workers’ Comp

April 11, 2022 - WorkCompWire

NCCI

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]

Filed Under: Association, Rating & Research News, Claims, Legal, & Compliance News, Industry News, Legislative & Regulatory News, Top Stories, Workers' Compensation

CorVel Releases New Integrated Claims Risk Score for Workers’ Comp Claims

April 11, 2022 - WorkCompWire

CorVel

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]

Filed Under: Claims, Legal, & Compliance News, Industry News, Risk Management News, Top Stories, Workers' Compensation

Spear Technologies Announces FrankCrum as New Customer

April 8, 2022 - WorkCompWire

Spear Technologies

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]

Filed Under: Claims, Legal, & Compliance News, Industry News, Top Stories, Workers' Compensation

Sedgwick Announces Managed Care Services Now Available as Independent Offering

April 7, 2022 - WorkCompWire

Sedgwick

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]

Filed Under: Claims, Legal, & Compliance News, Industry News, Top Stories, Workers' Compensation

CLARA Analytics Launches Optics with Wide Range of Alerts

April 6, 2022 - WorkCompWire

CLARA analytics

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]

Filed Under: Claims, Legal, & Compliance News, Industry News, Top Stories, Workers' Compensation

FL Headed to Trial with Walgreens Over Opioid Crisis

April 5, 2022 - WorkCompWire

FL Attorney General

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]

Filed Under: Claims, Legal, & Compliance News, Industry News, Top Stories, Workers' Compensation

FL Attorney General Moody Announces $870 Million+ Opioid Settlement

April 1, 2022 - WorkCompWire

FL Attorney General

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]

Filed Under: Claims, Legal, & Compliance News, Industry News, Top Stories, Workers' Compensation

NYS Inspector General Releases Workers’ Compensation Fraud Annual Report

March 23, 2022 - WorkCompWire

New York State Seal

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]

Filed Under: Claims, Legal, & Compliance News, Industry News, Top Stories, Workers' Compensation

NCCI Releases Court Case Retrospective Report for 2018-2021

March 11, 2022 - WorkCompWire

NCCI

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]

Filed Under: Claims, Legal, & Compliance News, Industry News, Top Stories, Workers' Compensation

CA DWC Announces Return to In-Person Hearings on March 21

March 11, 2022 - WorkCompWire

CA DWC

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]

Filed Under: Claims, Legal, & Compliance News, Industry News, Top Stories, Workers' Compensation

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