San Diego, CA – Mitchell recently released new a new research analysis based on examination of workers’ compensation claims through the end of June 2020, noting that the data confirmed many trends it expected to see as a result of the COVID-19 pandemic. Key findings included: Employees representing the healthcare industry sector are the source… [Read more]
Claims, Legal, & Compliance News
Attorneys John Cattie & Rafael Gonzalez Partner in New Firm Focused on MSP Compliance Law
Charolotte, NC – After almost 10 years of working in the Medicare Secondary Payer (MSP) compliance industry, John Cattie made the following observation: while a lot of people (even attorneys) provided MSP compliance services to parties resolving workers’ compensation, auto, and liability insurance claims in a non-legal capacity, few attorneys provided clients with legal advice… [Read more]
One Call Releases Whitepaper on COVID-19 Catalyzing Telerehab Adoption
Jacksonville, FL – One Call recently announced the release of a new whitepaper that examines how the COVID-19 pandemic has served as a catalyst for accelerating the adoption of telerehab approaches in workers’ comp. One Call noted that prior to COVID-19, there was a perception within the industry that telerehab was inferior to traditional in-person… [Read more]
Athens Administrators Releases COVID-19 CA Legislative Update
Concord, CA – Athens Administrators recently released a legislative update for California, one month after California Governor Gavin Newsom issued Executive Order N-62-20, creating the rebuttable presumption of compensability for COVID-19 clams that meet specific criteria. The Order extends from May 6 through July 5 of this year and applies to COVID-19 claims for dates… [Read more]
One Call Releases White Paper on Identifying and Treating At-Risk Injured Workers
Jacksonville, FL – One Call recently released a new white paper by National Clinical Leader Michelle Despres entitled Incorporating Predictive Analytics and a Biopsychosocial Approach to Identify and Treat At-Risk Injured Workers, noting that at-risk injured workers are slow to recover and expensive to treat. When it comes to physical therapy and rehabilitation, in general,… [Read more]
Matt Button Appointed CEO of Davies’ US Claims Solutions
Nashville, TN – Davies recently announced that Matt Button has been appointed to the role of CEO for its US Claims Solutions business. Currently Davies’ Global head of M&A, he has been running the Davies US claims operations on an interim basis since October 2019, focusing on driving organic and M&A growth in what is… [Read more]
CA DWC Posts Adjustments to OMFS (Hospital Outpatient Depts/ASCs)
San Francisco, CA – The California Division of Workers’ Compensation (DWC) recenlty posted an order adjusting the Hospital Outpatient Departments and Ambulatory Surgical Centers section of the Official Medical Fee Schedule (OMFS) to conform to changes in the Medicare payment system as required by Labor Code section 5307.1. The Hospital Outpatient Departments and Ambulatory Surgical… [Read more]
Rising Medical Solutions Announces Direction for 2020 Work Comp Benchmark Study
Chicago, IL – Now in its eighth year, the 2020 Workers’ Compensation Benchmarking Study will investigate how claims leaders are capitalizing on the 1200-plus frontline staff survey responses from the 2019 study. The 2020 study marks another industry first, as claims leaders have never before had access to such aggregated frontline data upon which to… [Read more]
Care Bridge International Announces Actuarial Science Endorsement
Lakewood Ranch, FL – Care Bridge International recently completed an actuarial, data science review, the second evaluation of its kind since the company’s inception. Actuarial Science is the discipline that applies statistical methods to assess risk in insurance. The actuaries applied rigorous mathematics and data analysis to the Care Bridge models, involving forecasting long term… [Read more]
Texas Mutual: SCOTX Air Ambulance Ruling a Victory for Employers and Injured Workers
Austin, TX – The Supreme Court of Texas has ruled that an air ambulance company must adhere to workers’ compensation payment guidelines in the Texas Mutual Insurance Company et al. vs PHI Air Medical case. The Court decided in favor of insurers and state regulators in a dispute that was sparked when privately-owned air ambulances… [Read more]