Apr
11

Rising Announces Acquisition of Preferred Disability Management | Apr 2023

April 11, 2023 – Chicago, IL – Rising Medical Solutions (Rising) today announced the acquisition of Preferred Disability Management (PDM), a regional case management company headquartered in Carmel, Indiana. PDM’s services supplement Rising’s own portfolio and focus on field-based and catastrophic case management services, as well as telephonic case management, medical record analysis, physician peer reviews, triage services, independent medical evaluations, life care planning, medical cost projections for setting reserves, and return to work assessments.

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Mar
02

Updating Medical Fee Schedules Takes Balance featuring Rising CEO Jason Beans | Business Insurance | Mar 2023

March 2, 2023 – Medical inflation is a top concern in workers’ compensation this year and adjusting medical fee schedules may be one way to address rising costs, although the appetite for change is limited, comp experts say.

While some states have introduced legislation to overhaul their schedules, variations in costs among states illustrate the complexity of the issue, they say.

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Feb
21

Rising Appoints Nurse Practitioner Executive to Lead Clinical Services Division, Expand Offerings | Feb 2023

February 21, 2023 – Chicago, IL – Board-certified nurse practitioner and longtime managed care veteran Paige McCraney is the newest member of Rising Medical Solutions’ (Rising) leadership team. Paige brings more than 40 years of diverse experience as a nurse administrator, educator, and direct care provider to her role as Vice President of Care Management, responsible for Rising’s utilization review, nurse triage, care coordination, telephonic case management, and clinical quality management practices.

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Jan
11

Rising Launches MMSEA Section 111 Reporting Solution | Jan 2023

January 11, 2023 – Chicago, IL – Rising Medical Solutions (Rising) today announced its product portfolio expansion to help payers comply with Section 111 of the Medicare, Medicaid, and SCHIP Extension Act (MMSEA). The company’s new Section 111 reporting solution decreases payer liability for excess recovery costs and fines, while mitigating potential litigation by beneficiaries for improperly reported claims.

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Oct
17

Workers’ Compensation Benchmarking Study Launches 2022 Claims Performance Survey and Prepares to Deliver 10-Year Industry Report Card | Oct 2022

October 17, 2022 – Chicago, IL – The Workers’ Compensation Benchmarking Study, the largest national research program investigating top issues impacting claims organizations today, has released its annual survey, inviting claims leaders to once again participate in important industry research that will be published in its 2022 Report.

“Prior to launching the study over a decade ago, there was no survey-based assessment tool focused on claims organizational performance and strategy,” said Rachel Fikes, said Rachel Fikes, chief experience officer and study program director at Rising Medical Solutions. “Through our participants’ collective intelligence, we have developed research that is both for and with claims professionals to identify the operational and cultural practices that are delivering superior employee care and return to work outcomes.”

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Oct
05

Comp Sector Widens Scope of Recovery Efforts featuring Rising’s Work Comp Benchmark Study | Business Insurance | Oct 2022

October 5, 2022 – Much of what directs the trajectory of a workers compensation claim has little to do with the claim itself — the injury, the prognosis — and much to do with the claimant’s everyday life, such as where they live or how much money they have in the bank.

Experts say focusing on the so-called “social determinants of health” of an injured worker has the potential to drive better outcomes for injuries and is in line with “whole-worker” health and advocacy trends in workers comp in recent years.

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Sep
29

Rising to Examine Claims Operational Transformation at National Comp Conference | Sep 2022

September 29, 2022 – Chicago, IL – Rising Medical Solutions (Rising) today announced that experts from its Workers’ Compensation Benchmarking Study will be featured in a panel discussion at the National Workers’ Compensation and Disability Conference in Las Vegas on Wednesday, October 19, 2022 at 3:30 p.m. The session will reveal the top obstacles that both claims leaders and frontline claims personnel have repeatedly cited in the Workers’ Compensation Benchmarking Study’s annual research.

The conference session, titled Do This Now! Strategies High Performers are Using to Surmount Claims Management Obstacles, includes an esteemed panel of industry leaders who will discuss the top three (3) consistently ranked barriers to achieving optimal outcomes and provide expert perspectives on how claims organizations are making headway.  Specifically, they’ll discuss strategies for best facilitating return-to-work, ways to improve injured worker engagement to stave off litigation, and methods for better equipping frontline staff to address comorbidities and psychosocial issues. The panel will also explore how worker-centric approaches are a key remedy.

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