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Pre-Operative Tests Drawing Increased Payer Scrutiny, Orthopedic Group Says 12/01/2017
By: Elaine Goodman (medical/business reporter)
State: CA | Segment: Top | 1151 | 0 | Popular with Legal
Some California surgeons say they are facing an increased number of payer denials for pre-operative testing, a situation that may delay treatment for injured workers or even increase their risk during surgery. ...Read More
 
 

Property Owner Gets Partial Summary Judgment on Labor Law Claim, Revival of 3rd-Party Claim 12/01/2017
Source: WorkCompCentral
State: NY | Segment: NORTH | 293 | 0 | Popular with Legal
A New York appellate court ruled that a property owner was entitled to summary judgment dismissing an injured construction worker’s Labor Law Section 200 and negligence claims, and that it should have been allowed to proceed with its breach of contract claim against a subcontractor. ...Read More
 
 

Pottery Plant Will Pay $545K in Penalties After Worker Death 11/30/2017
State: TX | Segment: SOUTH | 266 | 0 | Popular with Insurance
An industrial pottery manufacturer will pay $545,160 after safety inspectors found that the same issues that led to an on-the-job death in 2008 contributed to ...Read More
 
 

Physician Pleads Guilty to Pill Mill Charges 11/30/2017
State: AL | Segment: SOUTH | 304 | 0 | Popular with Legal
Alabama physician Gilberto Sanchez pleaded guilty Tuesday to charges associated with his operation of a Montgomery pill mill, the U.S. Attorney's Office of the Middle District of Alabama ...Read More
 
 

PTSD Bill Advances to Senate Committee 11/29/2017
State: FL | Segment: SOUTH | 165 | 0 | Popular with Insurance
The Senate Banking and Insurance Committee next week will discuss legislation that would award first responders indemnity benefits for mental-mental claims for injuries such as post-traumatic stress disorder. ...Read More
 
 

Patriot Founder Mariano Selling Comp Carrier Ashmere Insurance 11/28/2017
By: Elaine Goodman (medical/business reporter)
State: NA | Segment: Top | 859 | 0 | Popular with Legal
In the latest twist for troubled insurance-services business Patriot National, company founder Steven Mariano announced on Monday that he is selling Deerfield Insurance Holdings Inc. and its operating subsidiary, workers’ comp carrier Ashmere Insurance Co. ...Read More
 
 

Patriot National Sinking Fast After Main Client Declared Insolvent 11/27/2017
By: Elaine Goodman (medical/business reporter)
State: NA | Segment: Top | 493 | 0 | Popular with Legal
Patriot National, a provider of technology services to the insurance industry, appears to be in a tailspin now that delinquency proceedings have been initiated against its largest customer, Guarantee Insurance Co. ...Read More
 
 

Provider Reimbursement Manual Updated 11/20/2017
State: FL | Segment: SOUTH | 188 | 0 | Popular with Legal
The Department of Financial Services has finalized an amendment to Rule 69L-8.071, materials for use with the Florida Workers’ Compensation Health Care Provider Reimbursement Manual. ...Read More
 
 

Proposed Rule Would Establish 1-Year Deadline for Filing Medical Bills 11/20/2017
State: MD | Segment: SOUTH | 279 | 0 | Popular with Legal
A rule proposed by the Maryland Workers’ Compensation Commission would insert within the state's code book a policy already mandated by the legislature that establishes a one-year deadline for medical providers to submit bills for services. ...Read More
 
 

Proposal Would Increase DWC and Research Group Premium Tax to 2.054% 11/13/2017
State: TX | Segment: SOUTH | 287 | 0 | Popular with Legal
Texas employers will pay more for operating the state’s workers’ compensation system through premium and maintenance taxes proposed by the Department of Insurance that will bring in $148,011,657, and assessments for examination expenses that will generate an additional $12,727,040....Read More
 
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