Supporting the Fiduciary Responsibilities of Plan Sponsors — One Claim at a Time
When the Department of Labor (DOL) recently sued Blue Cross Blue Shield (BCBS) of Minnesota for surreptitiously collecting $66.8M from self-funded…
Author: Wellrithms
The Audacity to Sue
A 6-year-old girl fell and cut her ankle open a half-inch. Her mother sought treatment at an Out-of-Network clinic due to…
The Cost of Healthcare: Navigating the Inflationary Environment
On the heels of the Federal Reserve raising interest rates to curb the highest inflation in 30 years, workers’ compensation loss…
Stay Ahead of the Game: Understanding the Impact of Facility Services on Workers’ Compensation Costs
Workers’ compensation medical costs have experienced a moderate level of inflation over the past decade. However, facility services have been the…
Uncovering Price Gouging in the Post-Pandemic Era. WellRithms Exposes Excessive Charges for COVID-19
A laboratory in New Jersey is still profiteering on COVID-19 tests, post pandemic. Three out-of-network claims were submitted for the same…
Triple Mastectomy?!
A mastectomy is the surgical procedure to remove one or both breasts to treat breast cancer. During workup or the procedure,…