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How Workers’ Compensation Legislation for COVID-19 Claims Impacts Your Cash Flow

How Workers’ Compensation Legislation for COVID-19 Claims Impacts Your Cash Flow

The first half of 2020 has been an extremely rare situation for most Americans, especially in the workers’ compensation community. With most of the country under some kind of “stay at home” order, businesses deemed non-essential were asked to close their doors and send their workforce home to control the outbreak. But what about the […]

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many innovative and successful payment mechanisms bring speed and efficiency to an administratively bloated and vastly outdated work […]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 Top 4 Workers’ Comp Questions and the Iraqi Bread Maker

The Top 4 Workers’ Comp Questions and the Iraqi Bread Maker

Top Gun and Black Hawk Down – who’s seen them? One a fictional adventure of a rebel pilot and his loyal best friend and navigator. The other, a raw, tense and jarringly accurate portrayal of modern war. Together, these two movies inspired what I thought would be a career in the military. Fast forward to […]

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 […]