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The New NormalContains 3 Component(s), Includes Credits Includes a Live Web Event on 04/13/2021 at 1:00 PM (EDT)
This course firmly establishes the dramatic impact of 2020’s coronavirus pandemic on everyone in the nation. Understanding
This course firmly establishes the dramatic impact of 2020’s coronavirus pandemic on everyone in the nation. Understanding the virus’ impact and the onset of “The New Normal” make it clear how important maintaining vigilance towards fraud indicators is and will continue to be. Gain clarity on the options for dealing with fraud in ways that make good fiscal sense and honors meritorious claim decision-making.
Objectives: Claims Handling; When to Investigate; Impact of Current Situation.
Nick Ferrante is currently an Investigative Consultant for Frasco, Inc, one of our approved National Vendors for Investigations. Nick has 9 years of experience in investigations, specializes in Social Media Investigations and teaches Continuing Education throughout the country. He is an approved CEU Instructor in every state that requires it and has presented on the topic of Social Media close to 100 times. Nick resides in Peachtree City, GA, with his wife and two daughters.
Using Advanced Analytics to Achieve Better Claim OutcomesContains 3 Component(s), Includes Credits Includes a Live Web Event on 03/23/2021 at 1:00 PM (EDT)
Workers’ Compensation is a data rich business. Turning data into actionable insights should be a top priority.
Workers’ Compensation is a data rich business. Turning data into actionable insights should be a top priority. Why? The data is a valuable source of information for managing workers’ compensation claims. In this session, we will explore how to utilize workers’ compensation data to generate better claim outcomes. In this webinar, participants will learn how to 1.) Identify the key sources of data and what information they contain 2.) Learn how to use predictive models to identify emerging large-loss claims 3.) Use workers' compensation data, identify potential claim interventions.
Brian Billings is the Vice President of Predictive Analytics at Midwest Employers Casualty (MEC), a Berkley Company. With 25 years of technology experience in industries including banking, investment services, insurance services, and healthcare, he is an established leader in the area of data analytics. Brian holds a Bachelor of Science degree in Management Information Systems and a Juris Doctor degree from Saint Louis University. In his current role, he leads a team of data experts in building and deploying predictive models to help employers and injured workers achieve better outcomes.
Case Management 101 - When and How to Use it Effectively in Today's WorldContains 3 Component(s), Includes Credits Includes a Live Web Event on 02/16/2021 at 1:00 PM (EST)
Understanding when and how to use case management, and the role of case management in the larger workers' compensation team.
1. Understand what case management is
2. Know when and how to use it effectively
3. Role of case management in the larger workers’ compensation team
4. What case managers can and cannot do
5. Recent studies about effectiveness of case management
6. Concept of proactive vs reactive use of case management
7. Application of case management in world of COVID-19
Mollie Kallen has over 30 years of professional experience in the worker’s compensation industry. Mollie is originally from Ohio and graduated with a Bachelor's in Education from Washington University and a Master's in counseling from Northwestern University. She has worked in the industry from all perspectives, culminating in her building a national case management company of over 400 case managers. Mollie started her career as a public school teacher and then moved towards counseling and psychology at a Master’s Degree level. Her introduction to worker’s compensation was providing group and individual counseling to injured workers and their families in the private clinical sector. She then started her case management career with the first national case management company, Intracorp, and quickly became one of their highly successful and most requested case managers. Mollie transition to Corvel as a senior case manager for 13 years and became noted in her field in South Florida . After working at Genex for one year, Mollie decided to start her own company as a sole practicing case manager, giving customers the high quality care without higher costs, administrative fees and incentivizations that she had known in prior companies. Mollie formed MKCM ( Mollie Kallen Case Management, Inc.) emphasizing strong customer service, transparency, ethics, quality and using only experienced case managers. MKCM is now the only national, wholly owned and minority run case management company. Mollie has become a leader in our industry and speaks at many national and regional conferences, webinars and does a great deal of training in our industry. Mollie is involved in many industry wide organizations and believes strongly in mentoring young professionals and case managers.
Section 111 Civil Monetary Penalties: The Proposed Rule and What You Can Do Now To Get Your Compliance Program on TrackContains 3 Component(s), Includes Credits Includes a Live Web Event on 02/02/2021 at 1:00 PM (EST)
This webinar will discuss Section 111 Civil Monetary Penalties.
Medicare requires carriers and self-insureds to report certain information to Medicare. This is usually referred to as Section 111 reporting and Medicare uses the information to assist in its lien recovery process. Failure to properly report a claim under the section 111 requirements can result in penalties of over $1,000.00 per day per claim. This presentation will cover the general requirements of section 111 reporting, Medicare’s proposed administrative rules to enforce these penalties, and its ramifications on a carrier/self-insured (or potentially their TPA.
Director of Lien Resolution, NuQuest
Patrick Czuprynski is NuQuest’s Director of Lien Resolution. In addition to leading the lien resolution team, he represents debtors in conditional payment administrative appeals and negotiations through the Medicare Appeal Council and provides consulting services for settlements and Section 111 inquiries. Mr. Czuprynski presents webinars on Medicare secondary payer compliance on behalf of NuQuest. He has also been published in the Illinois State Bar Association Workers’ Compensation Newsletter, the ISIA Newsletter, The National Alliance of Medicare Set-Aside Professionals publication, Workers’ Compensation Law, and the Maryland State Bar Association publication. An attorney, licensed in Illinois, Mr. Czuprynski is a member of the National Alliance of Medicare Set-Aside Professionals, serving on the Legal Round Table, Policy and Legislation and Liability MSP Advisory committees. Mr. Czuprynski holds a J.D. from Valparaiso University Law School, and a B.B.A from University of Wisconsin Green Bay.
VP of Compliance and Customer Relations, NuQuest
Prior to joining NuQuest, Ms. Smith received her undergraduate Political Science Degree from Gannon University and received her Master of Arts and Juris Doctorate degrees from Duquesne University. She thereafter served as a judicial clerk for the Hon. Dante Pellegrini, President Judge of the Commonwealth Court of Pennsylvania. Ms. Smith went on to practice as a shareholder at a top Pittsburgh law firm serving as Vice-Chair of the Medicare Compliance Group. She concentrated her practice in the area of Medicare compliance as well as workers’ compensation litigation, medical malpractice, and general insurance defense. Ms. Smith also served as a Medicare compliance attorney and shareholder for a national defense firm and worked as in-house counsel for a leading Pittsburgh health facility. Ms. Smith was selected for inclusion in the Pennsylvania Rising Stars list of outstanding young attorneys in 2008 and has been listed in Best Lawyers since 2011 in the area of workers’ compensation. Ms. Smith is involved in various charitable organizations and serves as a volunteer faculty advisor for a local high school trial advocacy team. Ms. Smith is licensed to practice law in Pennsylvania and West Virginia. In her role as VP of Compliance and Customer Relations, Ms. Smith utilizes her extensive compliance, litigation, and workers’ compensation experience to provide customers guidance on Medicare Secondary Payer (MSP) issues . She has lectured throughout the country on MSP compliance and has written numerous articles on various subjects.
Nuts & Bolts - Best PracticesContains 3 Component(s), Includes Credits
This webinar will discuss best practices of Ohio Workers' Compensation issues.
This webinar will discuss best practices of Ohio Workers' Compensation issues.
Melissa Black, Of Counsel at Dinsmore & Shohl LLP’s Columbus office counsels employers in workers’ compensation matters, including Industrial Commission hearings, court appeals, retaliation claims, workplace safety, settlements, and post-injury investigations. Her clients include state-funded and self-insured employers.
She is familiar with the labyrinth of administrative systems employers must navigate when dealing with workers’ compensation matters, including the Industrial Commission of Ohio and the Ohio Bureau of Workers’ Compensation. She knows how to navigate businesses and companies through these and other processes while also ensuring they meet their professional goals. When a workers’ compensation matter proceeds to a court of common pleas, she utilizes her litigation and jury trial experience to vigorously defend against claims.
Jared Buker is an associate attorney in the Columbus office of Dinsmore & Shohl LLP, where he focuses his practice on workers’ compensation, employment, labor, and administrative law. He counsels clients ranging from small businesses to national and international companies on issues involving workplace injuries, labor disputes, company policy, retaliation claims, FMLA, the Americans with Disabilities Act, OSHA, and the Fair Labor Standards Act. When working with a client, Jared starts by gaining an understanding of their business, including their short- and long-term goals, and he uses this information to craft a legal strategy that meets the client’s short- and long-term needs.
His experience includes practicing in state and federal court, as well as before administrative agencies like the Ohio Industrial Commission, the Ohio Civil Rights Commission, the Department of Labor, the National Labor Relations Board, and the Equal Employment Opportunities Commission.
Jared earned his B.A., magna cum laude, from Youngstown State University, and J.D., cum laude, from Capital University Law School. While in law school, he was the Executive Articles editor of the Capital University Law Review, Volume 43, and recipient of the Dean’s Excellence Award in 2013. He is a member of the Ohio State and Columbus Bar Associations and is admitted to practice before the U.S. District Court for the Southern District of Ohio.
J. Andrew Recker (Andy) is an associate attorney in Dinsmore & Shohl LLP's Cincinnati office where he focuses his practice on workers' compensation defense and represents employers in both administrative proceedings before the Ohio Industrial Commission and court proceedings in Ohio courts. He has obtained favorable jury verdicts for employers in Ohio courts and is a strong advocate for employers in both the hearing room and courtroom. Prior to law school, Andy handled liability and casualty claims for Safeco insurance company and Macy’s department stores. Currently, he has leadership roles with the Cincinnati Bar Association’s workers’ compensation committee and actively speaks and presents to trade associations, bar associations third party administrators, employers and employer groups throughout the state.
Nuts & Bolts - Claim Management & C-9 RequestsContains 3 Component(s), Includes Credits
Initial and ongoing treatment requests, data elements, and the Miller Criteria.
This webinar will cover initial and ongoing treatment requests, data elements, and the Miller Criteria.
Debbie Lantman is the Manager – Workers’ Compensation for Formica Corporation in Evendale, Ohio. Managing self-insured, deductible, and guaranteed workers’ compensation programs in Ohio and the United States, including Puerto Rico. Having worked in the workers’ compensation field for 33 years, Debbie has managed self-insured and state fund claims for her employers and a third party administrator. Debbie’s background also includes human resource generalist, FMLA and ADA management, Paramedic, safety consultant, and emergency medical services instructor. Debbie was appointed by then Governor Kasich and now Governor Voinovich to the Industrial Commission Nominating Council. As a Board member of OSIA, Debbie participates on the BWC SI Financial Committee and the BWC SI Claims Committee. Debbie is a member of the Ohio Safety Congress EMS Committee.
Nuts & Bolts - Return to Work Efforts and IssuesContains 3 Component(s), Includes Credits
This webinar will discuss return to work efforts and issues.
This webinar will discuss return to work efforts and issues.
Preston J. Garvin began his workers' compensation career as a Hearing Officer for the Industrial Commission. He served as Legal Director, Chief Legal Advisor, to the Industrial Commission. In 1997, Preston and Michael Hickey formed the law firm of Garvin & Hickey, LLC. Preston is Special Counsel to the Ohio Chamber of Commerce for workers' compensation matters and Chairman of the Workers' Compensation Committee. He has testified before various House and Senate committees on numerous workers' compensation bills. He has participated in numerous Amici Curiae briefs before the Ohio Supreme Court. Preston has served on various Industrial Commission and BWC committees. He presently serves on the Rules Advisory Task Force.
He has been listed in the Best Lawyers in America since 1995 and Columbus Monthly Magazine Top Lawyers in Columbus. He has been voted by his peers as one of the Ohio's Super Lawyers, with a placement of one of the top 50 lawyers in Columbus and top 100 in Ohio and he has an AV rating from Martindale Hubbell. Preston was the recipient of the Ohio Self-Insurers Association Patrick A. O'Neill award. Preston serves on the Board of Kids' Chance of Ohio and is a past member of the Board of Kids' Chance of America.
Nuts & Bolts - DisabilityContains 3 Component(s), Includes Credits
Temporary Total Disability; Temporary Total; Permanent Partial Disability; Permanent Total Disability
This webinar will discuss Temporary Total Disability; Temporary Total; Permanent Partial Disability; Permanent Total Disability.
Loyd Hudson is an Integrated Disability Manager for AEP’s Absence Programs. Loyd is active in disability management and has 25 years of experience in American Electric Powers integrated disability management program consisting of sick leave, parental leaves, military leaves, workers’ compensation, long term disability, FMLA, and ADA. Loyd currently serves as President of the Ohio of Self Insurers, Former President and current Board Member of the West Virginia Self Insurers, Former President and current Board Member of the National Counsel of Self-Insurers, Board Member of the Louisiana Self Insurers Association, and has served as past President of the Virginia Self Insured Association.
Nuts & Bolts - HearingsContains 3 Component(s), Includes Credits
The hearing process and hearing preparation beginning to end.
This webinar will discuss the process of the Industrial Commission (IC) that provides claimants and employers the opportunity to resolve disputes over workers' compensation claims and claim elements. It is a separate agency from The Ohio Bureau of Workers' Compensation (BWC).
Vicky G. Hamilton has a background in healthcare beginning in a hospital emergency department following college, managing physician offices, and managing in hospital public relations and marketing. She began working in 1989 in the role of a consultant with a third-party administrator taking on many elements in workers’ compensation. She has been a Hearing Representative with CareWorks Comp since 2010. Her focus is to learn and educate within her role the continual changes in workers’ compensation.
Nuts & Bolts - Accident InvestigationContains 3 Component(s), Includes Credits
First report of incidents and accident investigations.
This webinar will cover the first report of incidents and accident investigations.
Joanne Wissman Glass represents employers in all phases of workers’ compensation matters including administrative hearings and judicial matters before various levels of Ohio state courts. She counsels employers regarding the administration and defense of workers’ compensation claims, claims management and cost containment, accident investigation and reporting, violation of specific safety requirement (VSSR) claims, premium and group ratings, attaining and maintaining self-insured status, subrogation, workers’ compensation retaliation and other related matters. She also defends employers in post-administrative litigation in common pleas courts throughout Ohio. Joanne is also admitted in Kentucky. She has counseled Kentucky employers in the administration and defense of its workers’ compensation claims and has represented employers at various administrative proceedings in Kentucky. Joanne is a member of the Cincinnati office of Frost Brown Todd.
Noel C. Shepard represents a wide variety of companies in employment-related defense litigation and consulting services. Her practice focuses on defending employers of all sizes in every aspect of workers’ compensation from injury prevention to settlement. Noel offers her clients advice regarding policy writing, accident prevention and investigation, cost containment, and defense strategy. She defends her clients against workers’ compensation claims before the Industrial Commission of Ohio as well as in common pleas courts statewide. Additionally, she represents clients in writ of mandamus actions in Courts of Appeal. She also has experience in more specialized areas of workers’ compensation law, including Violation of Specific Safety Requirements (VSSR), handicap reimbursement hearings, and in rating matters before the Adjudicating Committee of the Bureau of Workers’ Compensation. Noel is also the Member-in-Charge of the Columbus office of Frost Brown Todd.