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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 […]

2018 in Review

2018 in Review

Another year has come and gone. An old timer once told me, “The older you get, the faster the years go.” He was right. This has been a great year for EnableComp.  Regardless, where do you start when reviewing an entire year for the Company? What do you review since so much happens in the […]

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many innovative and successful payment mechanisms bring speed and efficiency to an administratively bloated and vastly outdated work […]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 […]