NAIRO Offers Tip Sheet for Doctors and Their Staff to Help Patients with Effective Healthcare Appeals

When a healthcare plan denies a patient coverage for a treatment, procedure or service, doctors and their clinical care staff are in an ideal position to help the patient effectively appeal the denial. A new tip sheet from NAIRO shows doctors and their staff how they can help. 

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Include FPs in Utilization Review Process, Says AAFP

The Academy recently contacted representatives from two Washington D.C.-based organizations to ensure that family physicians continue to be included in utilization review activities.

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Work Comp Reform in Illinois – The Details

With the passage of major work comp reform in Illinois, there’s lots of interest in determining exactly what was passed, and more importantly what it means.

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Illinois’ Work Comp PPO: What’s the Real Impact?

Employers and insurers decry the recent reform instituting PPOs in Illinois as ‘California Lite’. Plaintiff attorneys claim it will lead to undertreatment and negative consequences for claimants.

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Oklahoma Adopts Official Disability Guidelines (ODG)

Oklahoma City, OK – Governor Mary Fallin signed Senate Bill 878 this week adopting Work Loss Data Institute’s Official Disability Guidelines (ODG) as the standard for evidence-based medicine in determining scope and duration of medical treatment in workers’ compensation effective March 1, 2012. The measure passed unanimously in the Senate, 48-0, and won overwhelming approval, 88-8, in the House of Representatives.

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