The new OSHA (Occupational Safety and Health Administration) reporting requirements for injuries and illnesses pertains to high-hazard industries. This rule has been described as “groundbreaking” and expands the injury and illness data submission requirements for...
Social security retirement benefits and disability benefits provide valuable financial support to millions of Americans. More than 37 million Americans, that is, about 12% of the population are...
A medical peer review involves the review of a patient's medical records by a physician, who provides an opinion based on the facts provided in those records. The peer review is presented in the...
Insurers ask for a medical peer review when they are not sure whether a claim should be accepted and whether the treatment provided was medically necessary. This review process helps in avoiding...
Insurance fraud is a grave problem in America, costing insurance companies and their customers more than $40 billion a year, according to the FBI. This is excluding medical insurance fraud, which is...
Just as other personal injury claims, workers' compensation claims also hinge on medical chart reviews as a solid way to establish the injury and its intensity. The benefits paid by workers'...
The patient medical record is a valuable medical and legal document that has to be maintained safely by medical record custodians. When required for a legal use, attorneys employ medical record...
Anyone can fall prey to a severe disability that limits one's ability to work and lead a normal, pain-free life. Studies demonstrate that a 20-year-old worker has a 1-in-4 chance of becoming...
Workers' compensation is a highly beneficial program providing the much needed economic support to injured workers during their trauma and recovery. Medical claims review and other formalities...
Workers' compensation claims could be catastrophic claims that include burn injuries, spinal cord injuries, acquired head injuries and multiple trauma injuries that make up less than 1% of all...
Medicare Advantage (MA) plans allow Medicare beneficiaries to receive benefits through private plans rather than traditional FFS (Fee for Service) program. Medicare regulations require MA...