February Industry Highlights
Your go-to monthly newsletter for industry updates and resources to help you navigate your investigation and medical management cases.?
February is here, and we’ve got everything you need to stay ahead—industry updates, upcoming webinars, and resources to sharpen your claims strategy. Whether you’re looking for the latest fraud prevention tactics, new claims solutions, or opportunities to earn CE credits, we’ve got you covered. ?
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Upcoming Webinars?
Utilization Review 101?
In this session, we’ll walk you through the basics of Utilization Review — a crucial process that ensures appropriate medical services are being utilized efficiently.?This webinar is perfect for claims adjusters, case managers, healthcare professionals, and anyone looking to learn more about the UR process and how it’s used.?
?OSINT Advantage – Uncovering Fraud with Open-Source Intelligence?
Join us as we explore the power of OSINT in detecting and preventing fraud. From social media to public records, we’ll show you how to leverage open-source data to uncover red flags and validate your claims ?
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Top Stories?
Is Medical Canvassing Legal??
In this article, we discuss how Medical Canvassing stands out for its ability to uncover medical history quickly and cost-effectively, making it particularly useful early in the claims process or pre-deposition.?
Read the full article here: Is Medical Canvassing Legal??
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Long-Term Disability: Does Your Claimant’s Condition Qualify??
Verifying long-term disability (LTD) claims requires more than checking boxes. It’s about ensuring fairness, compliance, and preventing fraud. This blog breaks down the essentials to help you navigate the lengthy and at times tedious LTD process.?
Read the full article here: Long Term Disability: Does Your Claimant’s Condition Qualify??
Claims Management: When and How to Engage Vendors?
Whether it’s a surveillance expert, medical management service, or digital investigator, bringing in the right vendor at the right time can make all the difference in handling a claim efficiently and fairly. This blog breaks down the key factors to consider when engaging vendors and how they can support a smoother claims management process.?
Read the full article here: Claims Management: When and How to Engage Vendors?
领英推荐
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Industry Expert Insights?
National Sales Executive – Medical Management??
21 years of proven success in Claims Management.?
Question: "How do you stay updated with?new regulations impacting claims or reporting requirements in your jurisdiction and that of your clients?"
Answer:??"There are many publication resources that offer regulation and state requirements specific to claims handling.??
A few very educational resources are:?
Additionally, you can subscribe to your?state’s Workers' Compensation agencies?for updates. Most states have a division within the labor department where updates are posted."
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Fraud Prevention
Our hearts go out to everyone affected by the LA fires. During times of crisis, communities should come together—not become targets for fraud.
Unfortunately, disaster scams are all too common, preying on those in need through fake contractors, fraudulent charities, and deceptive relief efforts. Here are some key tips to help you stay alert and protected.?
Company Updates?
Ethos will attend the NAMIC Annual Meeting in Orlando, FL this February 11-13th.?
?See you in our home city for the 2025 Tampa Bay PRIMA Conference on February 16th-19th!
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Catch up on webinars
Missed last month’s Staged Auto Accidents webinar? Visit our free Learning Center to explore the key topics covered and find answers to your most frequently asked questions.??
Let’s Connect!?
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