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Winning at Workers’ Compensation: Key Strategies to Success

Winning at Workers’ Compensation: Key Strategies to Success

It’s no secret that workers’ compensation claims are complex and littered with challenges. Despite being a fraction of a hospital’s overall revenue, these claims typically drain resources and create more questions than answers. Since complex claims management is such an unknown to many within the revenue cycle, it is helpful to understand what workers’ compensation […]
Confessions of a Work Comp Payer

Confessions of a Work Comp Payer

Having worked for years on both sides of the Provider/Payer spectrum, it has always surprised me how little each side knows about the other when it comes to the medical billing and payment, especially with hospital bills. Usually when I speak with colleagues in the Insurance industry they have lots of opinions about hospitals and […]
Professional Bill Review: The “Hidden” Work Comp Fee Schedule

Professional Bill Review: The “Hidden” Work Comp Fee Schedule

  Throughout my career as a managed care professional in the workers’ compensation industry, I have had the privilege of working with insurance carriers, third party administrators, bill review companies and medical providers alike. I have seen many innovative and successful payment mechanisms bring speed and efficiency to an administratively bloated and vastly outdated work […]
The $547,775 Error I Found in a Work Comp PPO Contract

The $547,775 Error I Found in a Work Comp PPO Contract

Most hospitals that I encounter have at least a few Preferred Provider Organization (PPO) Network contracts that include workers’ compensation. Some have dozens. These contracts range from super simple 1-page Letters of Agreement, to massively complex multi-line managed care agreements. Hospitals typically devote staff to developing and managing these contracts, but just as is true […]
2018 Virginia Work Comp Fee Schedule: What Hospitals Need to Know

2018 Virginia Work Comp Fee Schedule: What Hospitals Need to Know

Medical billing reimbursement in Virginia has been a hot topic among industry pundits for years. As one of the few remaining “usual & customary” states where hospitals and physicians are not reimbursed at specific rates dictated by the state, the opportunity for creative interpretation of the rules has existed on both sides and bad actors […]
EnableComp Earns Spot on 2017 Inc 5000 List

EnableComp Earns Spot on 2017 Inc 5000 List

EnableComp, for the 4th consecutive year has made the 2017 Inc. 5000 list of the fastest growing private companies in America! Just to shed some light on how exciting this recognition is, there are approximately seven million private companies in the US vying for this achievement and tens of thousands apply each year. It is a […]
Tennessee is Requiring Work Comp e-Billing: 3 Keys to Consider

Tennessee is Requiring Work Comp e-Billing: 3 Keys to Consider

December 6th Update: I’ve been getting lots of calls and emails about where Tennessee is with the 2018 e-billing mandate for work comp. Here is a quick update: Since the 11/30 deadline to file the rule was missed, we are in a slight delay window. The e-billing rule is currently with the Tennessee Attorney General’s Office and is […]