What’s Next for the WCRC? New Contract Awarded to Capitol Bridge, LLC

Since the Workers’ Compensation Review Contractor (WCRC) contract renewal process began in December 2016, the industry has been awaiting news: whether Provider Resources, Inc. (PRI) would be renewed as the WCRC or if CMS would go in a different direction and select a new entity as the contractor. We now have the answer: On September 1, 2017, the Centers for Medicare and Medicaid Services (CMS) announced that the WCRC contract has been awarded to Capitol Bridge, LLC.   

When PRI took over as the Workers’ Compensation Review Contractor in 2012, the industry welcomed the improvements in the Workers’ Compensation Medicare Set-Aside (WCMSA) process—especially improved turnaround times for WCMSA submissions and a more reasonable approach to development letters and re-review considerations.

Key Issues We’ll Be Monitoring

It’s still too early to assess the impact of the change to Capitol Bridge, LLC, from Provider Resources, Inc., but we hope that the new contractor will improve on the process that PRI utilized. Capitol Bridge, LLC is stepping into the WCRC role at a time that the industry is still processing the recent WCMSA changes, such as the introduction of the Amended Review option and important updates released in the recent WCMSA Reference Guide v.2.6. ISO Claims Partners will monitor how Capitol Bridge tackles these issues and others moving forward, including:

  • Will there be any changes to the CMS review process?
  • Will turnaround times be affected?
  • Will there be additional information released this year regarding CMS’ intention to implement
    a review process for liability and no fault MSAs (LMSA/NFMSA)?

September 2017 Preview: Historical Catastrophe Activity

september-catastrophe-preview

The Atlantic hurricane season traditionally runs from June 1 to November 30. While forecasters have predicted a relatively normal hurricane season for this fall, the season is already on pace with some of the most active seasons on record when it comes to the number of named storms that have formed going into September. To […]

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Al Faber Receives IAIABC NextGen Award for Workers’ Comp Achievements

We are pleased to announce that the International Association of Industrial Accident Boards and Commissions (IAIABC) has selected Alfred Faber, director and division head of ISO Workers’ Compensation Solutions, as one of its 2017 NextGen Award winners. The IAIABC NextGen Awards were created to salute new talent and leadership in workers’ compensation as the industry […]

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Mississippi Insurance Verification System ready to launch

driver-behind-wheel

After testing a new insurance verification system in a months-long pilot with several insurers, Mississippi is ready to implement the new system, with a launch date set for Sept. 5, 2017. The Mississippi Insurance Verification System (MSIVS) will allow law enforcement officials to confirm a motorist’s auto liability insurance coverage in seconds by submitting a […]

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Louisiana tracking uninsured motorists

louisiana-bridge-river

In an effort to decrease the high number of uninsured motorists in Louisiana, the state has begun issuing fines to motorists detected as not having insurance coverage through the use of license plate readers.  The parishes of Bossier and Iberville are the first to issue the fines. The state has not yet set a schedule […]

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Arizona implements self-update option for motorists

Arizona-desert-driving

As part of the Arizona Department of Transportation (ADOT) efficiency initiative, the state is implementing a self-update option for motorists’ auto insurance. An insured is now able to update their insurance online to avoid registration suspension. Once an insured updates their insurance, ADOT’s system will cross-check the input with transmissions from the carrier for 30 […]

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