Workers' Compensation News
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MC Innovations and Workers’ Compensation Services Community Support
Thursday, November 14, 2013
In addition to providing quality claim and cost management services to the Commonwealth of Virginia workers’ compensation program, the MCI and WCS Teams also participate in giving back to the community. Over the past year and going into the holiday season our associates have been involved in the projects identified below. We are proud of our associates and their giving spirit.
Project Feedmore – The FeedMore Backpack Program is a major initiative to ensure that children in need have balanced, nutritious food to learn and grow. The concept is simple: children at risk of weekend hunger receive a bag of food that is child-friendly, nutritious, nonperishable, and easy to prepare/eat. Each BackPack offers enough food that children can easily assemble into six healthy meals over the weekend when schools are unable to provide breakfasts or lunches. By partnering with Communities in Schools, school staff, and local school systems, the BackPacks are distributed to children in need through the school system—discreetly—each Friday afternoon or before a long holiday weekend. As a way to support this worthy cause, during the 2013 football season on Fridays associates can donate money which then allows them to wear a jersey or shirt that supports their favorite football team. For the first five weeks of the season this event has generated over $125.00. To learn more about FeedMore go to https://feedmore.org/food-bank/food-bank-programs/childrens-program/weekend-backpack-programs/.
Richmond FoodBank – Over the course of the year we place barrels on the floor that are provided by the FoodBank. The Central Virginia Food Bank brings hunger relief to 31 counties and five cities in our region by acquiring needed foods and distributing these items to neighbors in need. To learn more about the FoodBank go to www.richmondfoodbank.org.
Box Top for Education - This is one of the nation’s largest school fundraising loyalty programs and has been helping schools succeed since 1996. With over 240 participating products, it’s an easy way for schools to earn cash for the things they need. Each Box Tops coupon is worth 10¢ when redeemed. Schools can use their Box Tops cash to buy whatever they need most, from books to field trips to playgrounds. Following an earthquake in Central Virginia in March 2011, the MCI/WCS associates have participated in this program to support the Trevillians Elementary School in Louisa, VA which was extensively damaged during the earthquake. To learn more about the program go to www.boxtops4education.com.
Capital Diaper Network – This is a new project that was launched in November 2013. Associates are donating pennies or loose change to the Capital Diaper Bank, a non-profit organization that provides diapers to infants, toddlers and their families who are experiencing a financial crisis. Capital Diaper Bank is a member of the Red Cross Disaster Relief Services Partner for Virginia and part of the National Diaper Bank Network. To read more about this organization and the work that they do, please go to http://capitaldiaperbank.org.
New Contract Awarded
Friday, June 28, 2013
In September 2012 the Department of Human Resource Management, Workers’ Compensation Services put the Workers’ Compensation and Cost Containment Services program out to bid. Proposals were received and following the procurement process and service negotiations, a contract was awarded to Managed Care Innovations. This marks the fourth contract for the organization which is effective July 1, 2013. Also, with the new contract, Managed Care Innovations has changed the name of the organization to MC Innovations (MCI).
MC Innovations is also pleased to announce that Penny Gough has joined the organization as the Program Director. Her role is to provide contract management, quality assurance and oversight of the thirteen Team Partners that provide the various and specialty services for Total Program Management.
New Contract Services and Features
Friday, June 28, 2013
The following are service enhancements to assist injured workers and agency workers’ compensation representatives with the claims process and goal to provide quality medical care and assistance in getting the injured worker back to work.
Effective July 1, Avizent Risk Services will officially change to York Risk Services Group. While the name has changed these are the same great staff you are used to serving your workers’ compensation needs.
We are implementing a new claims management system called York Claims Export (yCE) and a new telephone system.
We have reduced the goal for compensability decisions from 30 to 14 days. Agencies will see a letter go to the injured worker with a copy to the agency workers’ compensation representative at day 14 if a decision has not been made, letting everyone know what is still needed. This letter will then go every 30 days thereafter.
A Dental Network, One Call Care Dental + Doctor, has been added to the program. The network will consist of Dentists, Oral Surgeons, Periodontists, and Endodontists.
The addition of networks for Occupational Therapy, Work Hardening, Work Conditioning, Certified Hand Therapy, Speech Therapy, Aquatic Therapy, Chiropractic Care, and Pre-Surgery Therapy.
An emphasis to maximize pharmacy mail order by sharing the savings between retail and mail order with the injured worker.
A new Preferred Provider Organization (PPO) will be implemented with a new bill adjudication company, WellComp.
WellComp will bring access to a robust PPO network and we wanted to give you advance information and offer help in bumping your panel of physicians up against the new network. While we understand and encourage agencies to develop strong working relationships with their panel physicians, we know that they may not always participate in the PPO network available to us. We do not suggest that you remove a physician from your panel just because they are not in the PPO. Having a relationship with a physician who understands and supports your return-to-work philosophy and who produces good recovery outcomes for your staff is very valuable and certainly makes up for some of the savings lost if they are not in the PPO. We do request that you let WellComp know if you have such a physician on your panel and they can approach the doctor to see if they can be recruited into the PPO network.
Check your panels against the PPO network at this address now: www.wellcomp.com. When visiting the website, click in the top right hand corner under Provider Look Up/National PPO to complete the search. A link to the new PPO network lookup will be added to the www.COVWC.com website after July 1 for your continuing convenience.
If you have multiple panels or otherwise would like assistance in checking your panels against the network, WellComp is happy to assist. Simply send an email to email@example.com with a copy to firstname.lastname@example.org . If you have tax ID numbers it is helpful but not mandatory for the WellComp team to try to match your panel to the PPO.
Loss control services will continue to be provided by Loss Control Innovations (LCI). In addition, CommonHealth will also be expanding their services to offer several of the training programs developed by LCI.
Claim reporting will remain the same with one difference; the employee ID number has been added to the template. Something that won’t change is the push reports that you receive, but the reporting platform will be upgraded. Look for more information coming in the near future regarding information on this upgrade.
The changes are numerous and designed to improve efficiency, customer service and reduce claim cost. We thank you in advance for your patience over the next several weeks and if you experience a problem or have a question please contact your Team Supervisor, MCI Account Director Penny Gough or Kristie McClaren.