Workers' Compensation News
Alliant Names New SVP/Pharmacy Practice Lead
State: NA | Segment: NATIONAL |
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Alliant Employee Benefits named Sal Morana senior vice president and pharmacy practice lead for hospitals and health systems as part of its expanding pharmacy consulting practice.
Attorney Reprimanded for Borrowing Settlement Proceeds From Client
State: GA | Segment: SOUTH |
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The Georgia Supreme Court on Monday reprimanded a Valdosta-based claimants’ attorney for having admittedly acquired a pecuniary interest in a former’s client’s settlement funds while still representing the client.
Advisory Council Finalizes Medical Fee Schedule
State: WI | Segment: NORTH |
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The Workers’ Compensation Advisory Council on Friday approved a finalized medical fee schedule as part of its biennial agreed-to bill to be submitted to the L...
Agent Charged With Additional Insurance Fraud Crimes
State: PA | Segment: NORTH |
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An insurance agent charged with defrauding three clients this summer was arrested Thursday on alleged violations involving three additional firms, The Scranton Times-Tribune reports....
AIP Luncheon to Focus on Holding Claims-Handling Seminar
State: CA | Segment: WEST |
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The Association of Insurance Professionals education luncheon in October will focus on ways claims handlers can ensure positive outcomes for the workers’ compensation cases they handle in California.
Armada Physical Therapy Acquired by Rehab Network
State: NM | Segment: WEST |
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Physical Rehabilitation Network has acquired a majority interest in Armada Physical Therapy, expanding the California-based company’s footprint into New Mexico.
Attorney-Turned-Truck Driver Lacked Credibility
State: AR | Segment: SOUTH |
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The Arkansas Court of Appeals upheld a denial of benefits to an attorney-turned-truck driver for his alleged injuries from a 2014 accident.
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Today's Round Up
CA - Audit Standards Tighten for 2018
Claims administration services will need to score better in 2018 than they did this year to pass the initial stage of annual audits and avoid a more stringent review of claim files.
The Division of Workers’ Compensation said the Profile Audit Review performance standard for 2018 will be 1.47573, down from the PAR standard of 1.47885 in 2017.
Claims administrators that receive a score equal to or less than the standard set by the division will be required to pay any outstanding compensation but will not face administrative penalties. Shops that score higher will be subject to .
NATL. - Erie Promotes HR VP to Executive Vice President
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Erie Insurance has promoted Dionne Wallace Oakley to executive vice president of human resources and strategy, the carrier said in a press release.
Dionne Wallace Oakley
Wallace Oakley’s role will expand to include oversight of “several strategic functions,” the carrier said.
Wallace Oakley joined Erie Insurance in 2011 as vice president of human resources business partners, following a 22-year career at State Farm where her responsibilities included commercial lines service, personal lines underwriting, auto claims, corporate public affairs, agent recruiting and human r.
NM - Governor Makes Appointment to Advisory Council
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New Mexico Gov. Susana Martinez appointed Tara Bonestroo to the state’s Advisory Council on Workers’ Compensation and Occupational Disease Disablement.
Bonestroo is a partner in Bonestroo and Sons Dairy in Portales. She will fill a vacancy for a business representative on the advisory council.
The advisory council recommends rules and regulations relating to the state’s workers’ compensation system. Although the council’s role is largely advisory, it has authority to appoint members to the panel that approves independent medical examination providers.
AK - WCB Reviewing Court Cases at Jan. 11 Meeting
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Members of the Alaska Workers’ Compensation Board will discuss 2017 state Supreme Court and Workers’ Compensation Appeals Commission decisions during a Jan. 11 meeting.
Board members will also discuss the 2018 year-to-date budget during the meeting. The agenda also includes a one-hour public comment period.
The board meets from 9 a.m. to 5 p.m. Jan. 11 at the Division of Workers’ Compensation office, 3301 Eagle St., room 208, Anchorage.
The meeting agenda is here.
ID - Industrial Commission Posts Draft Audit Guidelines for Review
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The Idaho Industrial Commission posted to its website draft audit guidelines for public review and comment.
The commission conducts periodic audits to ensure carriers and self-insured employers are complying with claims adjustment requirements.
Draft guidelines outline types of claims that will be reviewed during the audits, including all total permanent disability claims and fatality claims, and a sample of other claims. The commission will examine whether payments were timely, whether payers correctly calculated benefits owed to injured workers and whether they’re promptly reporting .
CA - Judge Consolidates Claims for Sanctions, Payment on Copy Service Bills
CA - No Injunction in QME Dispute; Judge Questions Jurisdiction to Hear Complaint
CA - Little Explanation for Large Increase in SIF Costs
CA - Better ID of Suspended Providers, Process to Report Bad Actors Sought at Hearing
CA - Ex-NBA Player Pleads Guilty in Charity-Donations-for-Client-Referral Scheme
CA - DIR at Odds With Auditor Over Fraud Recommendations
NATL. - Debate Over Evidence-Based Guidelines Heats Up
CA - Investigation Into Double Electrocution Leads to Fraud Charges
CA - DWC Approves Carve-Out Agreement Between Los Angeles and Police Union
CA - DWC Posts Adjustment to Physicians' Fee Schedule
Jan 6, 2018
2018 Liens, Costs and Med-Lega
New for 2018 - learn all pertinent laws, skills and tools for lien issues starting January 2018. …
Jan 20, 2018
2018 MCLE Super Saturday
This program provides the six hours of â€œSpecial Requirementâ€ training, wi …
Jan 22-23, 2018
2018 Florida Comp Update
The 2018 Florida Comp Update at the Don CeSar Hotel in Pete Beach, FL, will provide two days of vi …