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Race Is On For Bots In Workers’ Comp

The thoroughbred horse Spring Racing Carnival is in full swing in the state of Victoria, Australia, culminating in the running of the Melbourne Cup, "the race that stops a nation."
November 6, 2019 Technology Workers' Compensation

Motocross Racer Alleging Workplace Injury Convicted Of Workers’ Compensation Fraud

Montana Attorney General Tim Fox announced this week a Three Forks man charged with fraudulently collecting workers’ compensation benefits from the Montana State Fund has pled guilty.
October 28, 2019 Fraud Workers' Compensation Montana

Erasing Uncertainty: How To Determine When To Deny And Fight A Workers Compensation Claim

Chasing perfect claims results can seem like chasing the wind, especially when it comes to making denial decisions. As Isaac Newton presented in his third law of motion, every action has an equal and opposite reaction, and deciding when to deny a claim is no exception.

When initially evaluating claims, there are three general claims types encountered: the likely valid, the possibly valid, and the likely invalid. There is an art to analyzing and balancing these three types of claims and deciding which should be denied and fought. An initial analysis requires a grasp of the applicable legal standards and associated potential risks and exposure. Knowing up front how to navigate between types of claims, the applicable law, how much time to devote to a claim, when to hit a decision point, and when to deny and fight is essential to any claims-handling st
October 25, 2019 Education & Training Litigation Workers' Compensation

The Great First Responder Compensability Race

There are those in the field of Philosophy that will tell you that the "slippery slope" argument is not an acceptable one. In fact, in the arena of Formal Logic it is referred to as the "Slippery Slope Fallacy" and any reasoning that attempts to use it is declared to be invalid.
October 25, 2019 Legislation & Regulation Workers' Compensation Colorado Florida

How Uber Almost Crushed My First Day At Work

Over an October weekend, a friend of my boyfriend visited us from California. Since I wasn’t in the mood to drive across the city to the Philadelphia airport to pick him up, he did what most people would do. He pulled out his phone and called an Uber.
October 24, 2019 Liability Workers' Compensation

How Technology Can Keep Injured Workers Happy And Unplug The Attorney Hotline

Artificial intelligence and other technologies are helping employers better understand injury trends and are saving money in the process.
October 24, 2019 Technology Workers' Compensation

Measuring Success In Workers’ Comp

The adage says, "What gets measured gets managed." What does that mean for workers’ compensation? What can we measure to truly improve outcomes for everyone in the workers’ compensation system, from injured workers, to employers, to insurers and others?
October 22, 2019 Workers' Compensation

How Telephonic Nurse Case Managers Bust Through Claims Roadblocks

Despite some obstacles, telemedicine is quickly becoming the future of care. More doctors are consulting with patients over video calls to improve care in rural areas, and even tech giants like Amazon are trying to get in on the telemedicine game.

October 18, 2019 Workers' Compensation

Father-Daughter Workers’ Comp Fraud Scheme

Workers' compensation fraud hurts everyone. It can cause premiums to go up, increase litigation, and burden the court system as well as the prosecutor's office. However, that did not stop a Father-Daughter couple from engaging in a scheme to defraud an employer/carrier.
October 16, 2019 Workers' Compensation

5 Ways Telemedicine Can Cut Costs Without Cutting Corners In Workers’ Comp

The use of telemedicine is becoming more common than ever. A quick browse through a general care physician’s online portal shows options to text medical questions to a nurse, schedule a video appointment with a doctor and request a virtual exam.
October 15, 2019 Workers' Compensation

1 Missing After Hard Rock Hotel Collapse In New Orleans

One person is still missing, believed to be trapped inside the Hard Rock Hotel after the building partially collapsed without warning Saturday morning. Rescue efforts are still the focus.
October 14, 2019 Excess & Surplus Lines Property Workers' Compensation Louisiana

3 Lessons From Navigating Interstate Workers’ Compensation Court Cases

From injured workers filing claims in more than one state to conflicting doctrines on subrogation, cross-jurisdictional workers’ compensation cases can be complex for injured workers and employers alike.
October 7, 2019 Education & Training Litigation Workers' Compensation

Judge In California Insurance Case Refuses To Change Ruling In Favor Of Lara Donor

For the second time in three months, a judge for the California Department of Insurance has refused to change or reconsider his ruling in a workers compensation case, despite direction from Commissioner Ricardo Lara or his special counsel.
October 7, 2019 Workers' Compensation California

Insurance Companies Are Cautiously Optimistic That Exoskeletons Can Reduce Injury And Claims

There are over a thousand exoskeleton units currently in use at job sites around the world, and their number is expected to increase at a significantly faster rate. In some cases, they are even becoming mandatory safety equipment.
October 4, 2019 Technology Workers' Compensation

Plotting A Compliance Course: What To Consider When Determining Whether Or Not To Submit An MSA To CMS

For Workers Compensation Medicare Set-Asides (WCMSA), there is no requirement that they be submitted to the Centers for Medicare & Medicaid Services (CMS) for approval, although it is common for settling parties to do so. What are the benefits of not submitting a WCMSA to CMS, and when does it make sense to take that course of action?
October 3, 2019 Education & Training Workers' Compensation
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