I was stunned to read in a recent WorkCompCentral article (subscription required) that only 38 of the 63 firms currently providing workers’ compensation utilization review (UR) services in California are URAC accredited. Per California Senate Bill 1160, the deadline for mandatory accreditation was July 1, 2018. WorkCompCentral’s reported figures on July 9 mean that 40
For more than a decade, taxpayer-funded health care programs have seen a steady uptick in higher-paying billing codes. Office visits, outpatient services, and emergency room care have all been billed at progressively higher reimbursement codes, raising fees by billions of dollars. Many providers contend the shift is the result of sicker patients coupled with the
Psychosocial issues pose the biggest barrier to successful claim outcomes, according to Rising’s 2016 Workers’ Compensation Benchmarking Study. Citing best practices from The Hartford, CNA, Nationwide, and Albertsons, Rising recently released a white paper examining how claims advocacy principles are better suited to overcome psychosocial factors than adversarial, compliance-driven, and task-based claims styles. I have
This article highlights issues the City of Ft Worth is having with their workers’ comp Third Party Administration services. I never know what is true or not in the press, but some of the employees’ comments imply there could be some real issues. One thing jumped off the page to me in reading the article: the difference
