Search for: "Maximus Federal Services"
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23 Jul 2007, 6:01 pm
Click here to read more on Maximus from Forbes and Associated Press and the US Department of Justice.The Whistleblower Law Blog is presented as a service of the Private Law Firm, LaBovick & LaBovick, P.A., Civil Justice Prosecutors. [read post]
16 Mar 2015, 4:07 am
So, I admit I'm wrong.Friday I admonished the California Division of Workers' Compensation to "do your job" and fine all of the insurance companies and third party administrators (and collect those fines) that fail to adhere to statutory time limits for getting records to Maximus Federal Services for Independent Medical Review.Based on a spreadsheet of such failures from Maximus, there are a lot of them, and not just minor delays… [read post]
7 Feb 2013, 4:47 am
Borrowed from the Texas work comp system but with some twists, IMR holds the possibility of quick resolution of medical disputes to get the injured worker necessary treatment faster thus decreasing costs by reducing indemnity periods as well as unnecessary or ineffective treatments.A really big company was tapped as the initial provider of IMR services, a company that has experience with this process in the general health realm for California's Medicaid program and other state and… [read post]
27 Mar 2015, 4:41 am
The sender has to be told what to send, and Maximus has to be told how to receive what is sent.It occurs to me that the much-maligned document copy services have this expertise in place already; perhaps in this new age of records management these companies actually have a compelling place in the system post SB 863.Regardless, this is a positive step towards modernizing California's system. [read post]
16 Dec 2014, 4:37 am
We might think of selling in the industry as a vendor seeking to make a contract with a buyer of services or goods. [read post]
29 Jul 2013, 4:16 am
The contractor for the IMR process, Maximus Federal Services, should not even be making any IMR decision where there is no documentation and/or there is a failure to supply requested documents - this is Maximus' own internal policy, according to what Tom Naughton, vice president for Maximus, told the audience at the recent California Coalition on Workers’ Compensation conference in Anaheim.Naughton said that if Maximus receives only a… [read post]
28 May 2015, 4:38 pm
Maximus A. [read post]
5 Jun 2014, 4:41 am
The California Independent Medical Review process, introduced by SB 863 in 2012, was intended to be anonymous.But it wasn't intended to be cloudy and opaque.That's, however, how the Department of Industrial Relations and the Division of Workers' Compensation seem to want to keep it.The news that was supposed to be announced yesterday was that the IMR contract for the next contracting period was to go to the existing contractor, Maximus Federal Services, Inc.… [read post]
22 May 2013, 4:51 am
We'll unfortunately never know.IMR in California is contracted out to Maximus Federal Services, which has been providing similar services to the California Department of Health for some time (in addition to many other state and federal programs).General health is different from workers' compensation - the laws are different, the variety of treatment is different, the operating environment is different, the exposure by the payer is different, and the… [read post]
13 Jan 2022, 4:01 am
In response, Navient made plans to move its loans to another loan servicer, Maximus. [read post]
22 Nov 2013, 6:25 am
One of the big debates concerning California reform is whether changes to Utilization Review process to incorporate the subsequent Independent Medial Review is working.Skeptics have pointed out the surge in IMR requests when the law mandated that all UR denials are subject to IMR regardless of date of injury or service.When that happened the IMR company, Maximus Federal Services, saw a huge increase in business. [read post]
6 Jun 2014, 4:35 am
She has always maintained a very high sense of morality and honesty - and with her dementia she really does wear her emotions on her face; it's easy to tell what she's thinking.Unlike the institution that's just about as old as Mom, the California Department of Industrial Relations (established 1927) seems to have lost the moral compass and does not appear to be trustworthy.Yesterday WorkCompCentral News reported a delay in the bidding of the Independent Medical Review contract to… [read post]
19 Jun 2014, 4:27 am
The matter was sent to IMR and Maximus Federal Services, the contractor which provides IMR services in California, upheld the SCIF's decision in February. [read post]
14 Jun 2023, 9:12 am
To estimate the impact of the proposal included in AB 1213, now being debated by state lawmakers, CWCI compiled special datasets that allowed it to merge insured claims data from its Industry Research Information System (IRIS) database with IMR decision data from Maximus Federal Services, which manages the IMR process for the state. [read post]
10 Feb 2015, 4:33 am
Through November 2014, service providers submitted just 2,827 IBR requests.George Parisotto, acting chief counsel for the DWC’s Legal Unit, said the administration expected the IBR process to be used more than Independent Medical Review.There were 188,864 requests for IMR through August 2014, according to data in materials presented to conference attendees.This makes sense to me because there is no fee for injured workers to seek IMR, while providers seeking more reimbursement on… [read post]
10 Jun 2019, 7:27 am
Until now, the VAAR’s policies “state[d] that supplies and services on the AbilityOne Procurement List and supplies provided by Federal Prison Industries, Inc. [read post]
5 Nov 2015, 4:20 am
"In fact, besides eliminating the projected $180 million in loss-adjustment expenses attributed to IMR in 2014, the WCIRB is now projecting IMR will increase loss-adjustment expenses by $70 million a year, which reduces SB 863's second-largest component of savings from $390 million to $140 million per year.As of June 30, 2015, IMR contractor Maximus Federal Services had billed payers $103.6 million for 245,751 completed reviews.Liens, which was also projected to… [read post]
9 Jul 2016, 8:30 am
Foundation officials immediately rectified the problem.Department of Health (DOH): Program Oversight and Monitoring of the Maximus Contract for the New York State of Health (Insurance Marketplace) Customer Service Center (2015-S-80)DOH has an effective system to ensure that Maximus is complying with contract requirements and meeting performance standards. [read post]
29 May 2023, 10:00 am
Post-Service Appeals. [read post]
13 Jun 2014, 4:48 am
This ratio is not appreciably changed from prior years though.Lou Shields, part of the afternoon panel on the real world experience with SB 863, and Vice President IT Application Integration for Maximus Federal Services, corrected the WorkCompCentral report of the other day telling me that while the overall payroll of Maximus' doctors reflected 40% from California, 70% that do the California work are California licensed presently and that… [read post]
