LexisNexis® Legal Newsroom
NE: WCC Activates DRG Reporter Registration and Data Submission File Upload Web Apps

Lincoln, NE (CompNewsNetwork) - The Nebraska Workers' Compensation Court has activated the web-based Reporter Registration Process and the Data Submission File Upload Process for electronic delivery of Diagnostic Related Group (DRG) reports to the court. Hospitals and payors may report for themselves...

TX: DWC Publishes Access to Medical Care in WC System, 1998-2008

Austin, TX (CompNewsNetwork) - The Texas Department of Insurance's Workers' Compensation Research & Evaluation Group produced a report, Access to Medical Care in the Texas Workers’ Compensation System,1998 - 2008 . The report includes information about participation and retention rates...

Sooner Rather Than Later: In the year 2020 Claim Control Will Begin Earlier in the Process

Sarasota, FL (CompNewsNetwork) – As more companies take on more risk through higher risk retentions (higher deductibles and self-insurance) they will likely become more interested in controlling their costs. The best way to do that is to TAKE CHARGE of events EARLY in the life of a claim. The 2010...

2011 Illinois Workers Comp Reform Employer PPO Plans

By Brad Bleakney, Esq. The Illinois Workers Comp Reforms of 2011 offer major changes which are too many to list in a single post but I will try to cover the summary of major changes in future posts. The two biggest changes under the 2011 Illinois Workers Comp Reforms are 1) reduction of the Medical...

CA: Possible Data Breach Reported and Contained for 300,000 Individual Records at Southern California Medical-Legal Consultants

Southern California Medical-Legal Consultants, Inc. (SCMLC) has announced that electronic files containing the names and social security numbers of approximately 300,000 individuals who have applied for California workers' compensation benefits have been exposed to unauthorized access. SCMLC is a...

Illinois Workers Comp Reform: Notice of Preferred Medical Provider

The Illinois Workers Compensation Commission has approved the official language to be used to notify injured employees of employer selected "Preferred Provider Programs" (PPP) that is, employer selected medical networks for work injury related medical care. This is the official form language...

Illinois Workers Comp Reform: Notice of Preferred Medical Provider

The Illinois Workers Compensation Commission has approved the official language to be used to notify injured employees of employer selected "Preferred Provider Programs" (PPP) that is, employer selected medical networks for work injury related medical care. This is the official form language...

New Jersey Bans Medical Providers From Charging Claimants for Work-Related Medical Expenses

New Jersey, like many states, has had an ongoing problem with physicians and hospitals that balance bill injured workers for work-related care. This problem has become more acute in the age of managed care reductions where medical providers dispute the amount they are paid and then send invoices to injured...

God Rest Ye Merry? Well, Not So Much in This Delaware Superior Court Ruling on Provider Certification

Above is my firstborn, Jocelyn, ringing the bell at the Prices Corner Wal-Mart. I am one partial Mama Bear but don't you agree she is the prettiest bell-ringer you have ever seen. Interestingly, this picture will likely make my other girl, Sweet Caroline, "sad in her heart", as she likes...

God Rest Ye Merry? Well, Not So Much in This Delaware Superior Court Ruling on Provider Certification

Above is my firstborn, Jocelyn, ringing the bell at the Prices Corner Wal-Mart. I am one partial Mama Bear but don't you agree she is the prettiest bell-ringer you have ever seen. Interestingly, this picture will likely make my other girl, Sweet Caroline, "sad in her heart", as she likes...

Workers' Comp Fraud Blotter (12/13/2012) – Doctors Joined Brotherhood of Fraud, Now Banned From Treating Injured Workers

Each week we'll be surveying what the media, state agencies, insurance companies, and others report in terms of workers' comp fraud. Just like a police blotter, our workers' comp fraud blotter lists recent arrests, charges, convictions and investigations. Workers' Comp Fraud Blotter...

Kentucky: Injured Worker May Choose His or Her Own Pharmacy

A Kentucky appellate court held that pharmacies are “medical providers” for purposes of Rev. Stat. Ann. § 342.020(1). Accordingly, the injured worker’s right to choose his or her own medical provider extended to the selection of a pharmacy. The court observed that since 1996, the...