At the 2019 WCI Conference, a session discussed how to avoid common pitfalls of the Medicare Secondary Payer Compliance (MSP) process. The speakers were: Heather Sanderson – Chief Legal Officer, Franco Signor LLc Rose Arellano – Director of Healthcare Billing & Recoveries, Performant Corp (current CMS contractor) Cliff Connor – VP Medicare Compliance, Gallagher Bassett Services Conditional Payments Medicare has the authority to make conditional payments where the primary plan may not pay promptly conditioned on reimbursement from the primary plan. Medicare has the statutory right to pursue recovery from any entity to secure this conditional payment. This includes carriers,
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Early Symptom Intervention (ESI) programs can improve the overall well-being and productivity of workers. However, many employers face challenges when implementing these programs. In this session at WCI’s 2019 Educational conference, panelists discuss how they have developed and maintained successful ESI programs and share statistics on their return on investment. Moderator: Robyn Lewis – Regional Manager of WorkStrategies at Select Medical Panel: Lisa Bosserman – EHS Manager at Lockheed Martin Jennifer Archer-Denton – Senior Safety Specialist at FedEx Express Work-related musculoskeletal disorders account for nearly one million injuries resulting in lost work time. They amount to over $1.5 billion in
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Employers who have adopted and embraced advocacy early on are becoming increasingly creative in the way they engage employees. Initial results are impressive, yielding improved outcomes. This session at WCI’s 2019 Workers’ Compensation Educational Conference examined the important elements of an employee advocacy approach. Speakers included: Noreen Olson, RN, MN, COHN-S, ARM, Manager, Claims, Risk Management, Starbucks Tracey Gasper, Manager, Insurance Programs, Hertz Claims Management Steve Figliuolo, Enterprise Risk Management, Chick-fil-A, Inc. Debra Livington, Chief Executive Officer, ReEmployAbility, Inc Scott Westman, CPCU, CRM, CIC, ARM, SCLA, Senior Vice President – Casualty Operations, Sedgwick CMS (moderator) Advocacy has been a buzzword
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Whether it is black swans, emerging risks, artificial intelligence, the global economy, demographic shifts, or any number of other issues, the future of risk management is evolving and regularly being reassessed and forecasted. This session at WCI’s 2019 Workers’ Compensation Educational Conference explored the issues that are impacting the risk discipline and set the stage for what is to be expected of risk leaders of the future. Speakers included: Soubhagya Parija, Chief Risk Officer, NY Power Authority Brad Waldron, Vice President, Risk Management, Caesar’s Entertainment Guy Fraker, Chief Innovation Officer, ITL Advisory Chris Mandel, Senior Vice President, Strategic Solutions Director
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Patient-centered care is much more than just patient satisfaction. It can drive better outcomes in the workers’ compensation industry. In this session at WCI’s 2019 Educational Conference, panelists explored how payers, employers and providers can utilize practical strategies to leverage this trend in today’s complex healthcare environment. Moderator: Mary O’ Donoghue – Chief Clinical Officer at MedRisk Panel: David Deitz, MD – David Deitz and Associates Johnathan Nutt – Head of Medical Management Services at AIG Michael Murphy – Director, Corporate Risk Management at Kennametal Inc Jean Feldman – Director of Managed Care, Workers’ Compensation Claims at Sentry Insurance There
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The Workers’ Compensation Research Institute (WCRI) conducted interviews with injured workers over the past four years to help understand how they navigate workers’ compensation systems. This session at WCI’s 2019 Workers’ Compensation Educational Conference highlighted the results and provided insights into areas of opportunity as a result. Speakers included: Michele Adams, Vice President of Risk Management, Walt Disney World Resorts Laure Lamy, Regional Director, Workers’ Compensation Research Institute WCRI felt it was important to study injured worker outcomes because information about how workers fare in the system is lacking. They conducted telephonic interviews, focusing on claims where the individual had
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Use of telehealth is expected to grow by 15 percent in 2020. With so many new adopters, it is worth exploring the possibility that this technology could help decrease the use of opioids by injured workers. In this session at WCI’s 2019 Educational Conference, panelists discussed the physical and biopsychosocial components of pain and how to help injured employees successfully return to work. Moderator: Sean Sullivan – Sr. Director, Product Management at One Call Panel: Ted Borgstadt – CEO at TrestleTree Amy Lukowski – Clinical Product Director of myStrength at Livongo Pain management is a human experience. The use of
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It’s the call no employer wants to get – your employee has been injured. How do you handle that call and everything that comes after? In this session at WCI’s 2019 Educational Conference, panelists explore best practices for handling catastrophic injuries. Moderator: H. George Kagan – Attorney at H. George Kagan, PA Panel: Jodi Loud – Brain and Spinal Cord Injury Consultant at The Hartford Lauren Underhill – CEO at CorLife Steve Kerschke – Director of Marketing at QLI Ted Cranias – Structured Settlement Consultant at Brant Hickey When we look at effective claims management, a skilled nurse case manager
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At the 2019 WCI Annual Conference, Kelly Bernish from Global SHE Solutions LLC discussed workplace violence and how it is disproportionally impacting industries associated with caring that traditionally employ more women. Violence in the workplace is the leading cause of death on the job for women. When people think of workplace violence they think of active shootings. These are rare. Workplace violence is defined by NIOSH as violent acts including physical assaults and threats of assault directed toward persons at work or on duty. Even if no physical injury takes place, threats, abuse and hostility are also considered workplace violence.
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Slips, trips and falls are among the most common causes of workplace injuries. Knowing the requirements for stairs and ladders, guarding of floor and wall openings and the basics of fall protection is essential for any risk manager. In this session at WCI’s 2019 Workers’ Compensation Educational Conference, Vergie Bain, Compliance Assistance Specialist for the U.S. Department of Labor provided insight about the OSHA standards for this issue. Slips, trips and falls are serious business. They cause 15% of all accidental deaths and are third only to violence and motor vehicles as a cause of workplace fatalities. OSHA standards for
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