Claimant fraud and premium fraud are two of the most well-known types of workers compensation fraud. In these cases, a worker may intentionally fake an injury (claimant fraud) or a business owner may misrepresent their employee headcount or incorrectly classify employees to obtain lower insurance premiums. Now, a lesser-known type is occurring with greater frequency: provider fraud.

Medicare’s federal funds assist in covering a wide range of healthcare costs for adults age 65 and older, as well as for younger persons with specific needs and applicable benefits.

Mental illness touches the lives of many in our society, whether personally or through a friend, family member or colleague. Data from the Center for Disease Control shows that one in five Americans will experience a mental illness during a given year.

After years of tightening limits, new federal guidelines are giving doctors greater leeway in prescribing opioids. Unveiled in November by the Centers for Disease Control and Prevention, the voluntary guidelines update more restrictive advice issued in 2016 -- advice that triggered a regulatory crackdown on opioids at the state and federal level.

Four more people have been found dead following a chocolate factory explosion in West Reading, Pennsylvania, last week, raising the death toll to seven, officials said Sunday night. All previously missing persons had been accounted for as of Sunday night.

A Medicare Set-Aside (MSA) is a financial agreement that reserves a portion of a workers’ compensation settlement to cover future treatment and prescription costs of an injury, illness, or disease.

Since 2014, the percentage of indemnity claims involving a major surgery in the first two years has declined one percentage point per year, falling from 28% of the 2014 claims to 23% of the 2019 claims, according to a study released Monday by the California Workers’ Compensation Institute.

Long COVID is an on-going, worrying and costly illness affecting workers and the workplace even as some people question if it is real.

The old adage ‘You can’t judge a book by its cover’ may be true when it comes to reading the latest novel from your favorite author, but when it comes to independent medical examinations (IME), the cover letter means everything.

There seems to be a common misconception that all workers’ compensation losses are flat to slightly improving. While that might be true for the frequency of smaller claims, it definitely is not the trend in the frequency and costs of large death and permanent total disability claims.

It has been heartening--especially over the last few years--to see more founders and investors take an interest in the U.S. workers’ compensation and safety innovation sector. Why?

AI’s capabilities have surged so much that it has the potential in 2023 to dramatically raise the quality of claims handling and underwriting in workers’ compensation.

According to a report by the National Council on Compensation Insurance, physical medicine expenses have been the primary contributor to the increase in annual physician costs in workers’ compensation over the past decade.

Former Eagles linebacker turned media personality, Emmanuel Acho, has won a lengthy workers’ compensation battle. Acho’s career with the Eagles ended in 2015 due to a thumb injury, after playing in 20 regular season games.

Primary workers’ compensation, general liability, and no-fault claims payers should be on alert for civil monetary penalties of up to $1,000 per day, per claim, which will be issued against noncompliant claims payers beginning spring 2023.