Why pay $3.5 million in penalties?

$8 million loss… Where did it come from? As of March 10th , 2016, several third-party administrative agencies face over $8 million in fines for allegedly failing to provide necessary medical documentation in time for independent medical review (IMR). A great deal of risk is involved when managing a large database of medical records [...]

2023-10-09T19:56:42+00:00March 28th, 2016|Quick Tips|

When is the UR Enforcer Necessary?

Workers comp administrators receive 200 to 300 bills a day which need to be directed to adjusters. However, the adjusters don't necessarily review the bill, even though numerous incidents occur when they are sent out for the wrong reason. Some of these reasons may include a bill for unnecessary treatments, fee schedules changing frequently, or even [...]

2023-10-09T19:50:48+00:00March 2nd, 2016|Utilization Review|