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How to Introduce a Preferred Provider Network to Your Company
6 Steps to Introduce the Preferred Provider Organization to Your Company A PPO, or preferred (sometimes “participating”) provider organization or network is a managed care organization who agrees with...
View ArticleEmployers TAKE CHARGE by Developing Relationships with Local Medical Providers
Developing relationships with your local providers is essential in successful medical management of your work comp claims. Whether you’re in a jurisdiction allowing the employer to control the...
View Article26 Red Flags of Medical Provider Fraud in Workers Compensation
The large majority of the doctors, clinics, hospitals, chiropractors, pharmacists, and other medical providers are honest providers of medical service. Unfortunately, a small minority of medical...
View ArticleWashington State Bill for Medical Provider Network
Washington State Gov. Chris Gregoire has signed into law a bill that orders the states Department of Labor and Industries to form a statewide medical provider network for injured workers. The new...
View Article4 Ways Medical Malpractice Could Affect Workers Compensation
Every adjuster who has been handling workers compensation for a while has heard a disgruntled employee say, “I am going to sue that doctor.” As Americans have some of the best medical care in the...
View ArticleTen Red Flags Indicating Medical Providers May Be Over Treating
Chiropractors may receive a bad rap. If anyone mentions excessive treatment that may not heal a patient, chiropractors are first on the list. But, there are certain medical practices, in every...
View Article7 Signs Your Injured Worker is Treating with a Physician Who is Not Employer...
Most states allow an injured worker to seek care with whatever physician the employee prefers. There are some rules to follow, but as long as the doctor cooperates there usually is not a problem. But...
View ArticlePicking the Wrong Workers Comp Doctor Can Be a Big Mistake for Employers
The wrong doctor treating the employee for a workers compensation injury is one of the biggest mistakes an employer can make. It is a very fast way to incur higher than necessary medical expenses and...
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Workers Compensation News in Brief for February 2012
How Can You Find Quality Providers? According to a recent MedMetrics blog, finding quality providers in your data has never been easier. See the complete blog here. Author Karen Wolfe explains in...
View ArticleMedical Provider Performance Indicators for Workers Compensation
By Karen Wolfe, BSN. MA, MBA President, CEO MedMetrics, LLC Workers’ Comp is Different While rating providers in group health is a long-practiced endeavor, its elements and parameters have not...
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