Los Angeles, CA – Effective Health Systems, (www.effectivehealthsystems.com) announced that as part of its regular updating of its database system, the Pharmacy Pre-Authorization Application increased the total number of NDC codes by 13% and the number of NDC codes available for approval increased by 21%. James Schlueter, Effective Health Systems’ President, said… [Continue Reading]
Top Stories
One Call Medical Subsidiary Express Dental Care Appoints New President
Parsippany, NJ – Express Dental Care, LLC (EDC) the first and only national dental network to address the specific needs of the workers’ compensation, auto, and liability industries and a subsidiary of One Call Medical, Inc. (OCM), today appointed Chris Toepke as president. OCM CEO Don Duford commented on the appointment: “We are pleased to promote from within the OCM family.. [Continue Reading]
FWCIGA Names EMPLOYERS’ Mark Hogle to Board of Directors
RENO, Nev.–(BUSINESS WIRE)–The Florida Workers’ Compensation Insurance Guaranty Association (FWCIGA) has named Mark Hogle, Senior Vice President, Regional Manager for EMPLOYERS’ Eastern Region, to its board of directors. As part of FWCIGA’s 11-member board of directors, Hogle will serve a two-year term as a carrier representative. Board member responsibilities… [Continue Reading]
IL Governor Announces Appointments of Workers’ Comp Commissioners
CHICAGO – Governor Pat Quinn today announced the appointments of 7 commissioners to the Illinois Workers’ Compensation Commission (IWCC). Commissioners review workers’ compensation appeals, and today’s appointments relate to the package of reforms to the workers’ compensation system that Governor Quinn led through… [Continue Reading]
Ohio BWC Gets Comp Fraud Convictions in September, Worth almost $250K
Columbus – Ohio Bureau of Workers’ Compensation (BWC) Administrator/CEO Stephen Buehrer today announced three individuals were convicted of defrauding Ohio’s workers’ compensation system during the month of September. The court actions are the result of investigations conducted by BWC’s Special Investigations Department (SID), which works to deter… [Continue Reading]
TX Division of Workers’ Comp Announces 2011 Performance Based Oversight Results
AUSTIN, TX – The Texas Department of Insurance, Division of Workers’ Compensation (TDI-DWC) recently released the results of the 2011 Health Care Provider PBO assessment. For 2011, health care providers were assessed on their performance in one of three categories: Timely filing of the DWC Form-069, Report of Medical Evaluation; or Timely release to return to work and completeness… [Continue Reading]
Utah WCF Makes Senior Management Changes
SALT LAKE CITY — Bob Short, Workers Compensation Fund senior vice president of claims, has been promoted to executive vice president. Bob joined WCF in 1993 as senior vice president of claims and under his leadership there have been many important accomplishments. In addition to his role at WCF, Bob is also the president and CEO of Pinnacle Risk Management…[Continue Reading]
TX Division of Workers’ Compensation Announces September Enforcement Actions
USTIN – 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… [Continue Reading]
Insurance Commissioner Issues Guidance on Content of Orders in WV Workers’ Comp Claims
The West Virginia Offices of the Insurance Commissioner (“OIC”) recently released the following guidance relating to the content of orders issued in West Virginia workers’ compensation claims. This guidance is intended for all carriers, third party administrators, and employers who have been approved for self-insured status: On July 1, 2008, all appropriately licensed… [Continue Reading]
A.M. Best Special Report: U.S. Workers’ Comp Results Drop Once Again, Concerns Remain
OLDWICK, N.J.–(BUSINESS WIRE)– The U.S. workers’ compensation insurance segment continued to face the same significant hurdles throughout 2010, including competitive pricing, further rate decreases, weak macroeconomic factors, growing medical costs and an uptick in claim frequency. As a result, premium volume declined and underwriting results deteriorated yet again… [Continue Reading]