One of the responsibilities that American Lien and Shannon Oconnor have within their contract with the State of California is to help determine the legitimacy of workers compensation claims. American Lien and Shannon Oconnor are highly experienced in the areas they focus on as contractors with the State of California.
American Lien and Shannon Oconnor are tasked with helping determine the legitimacy of many issues related to workers compensation cases in the state of California. Also, American Lien and Shannon Oconnor are helping to determine the legitimacy of billing laws and regulation enforcement, physician billing insurance laws as well as patient benefits.
American Lien and Shannon Oconnor provide representation for both defense and applicant entities in relation to workers compensation cases. Additionally, American Lien and Shannon Oconnor have been able to uncover more than 100 cases of billing discrepancies and physician/other healthcare specialty over-billing/miscoding techniques, as well as the under-reporting and untimely AME and QME Evaluation regulations.
American Lien and Shannon Oconnor are highly committed in their work of providing assistance within the areas they are contracted for by the state of California.
There are numerous changes that have been implemented within California’s new workers compensation law. American Lien and Shannon Oconnor are dedicated to their duties as billing specialists, physician’s advocates, and workers comp laws specialists for the State of California.
American Lien and Shannon Oconnor have ensured that all those whom they serve, including individuals who are applicants as well as those who are defendants, receive the upmost in attention and accuracy.
American Lien and Shannon Oconnor are involved with providing a new billing fee schedule for the State of California. American Lien and Shannon Oconnor have been licensed with the state of California to assist with multiple aspects concerning the state’s Workers’ Compensation law and system. American Lien and Shannon Oconnor are working to develop a new billing fee schedule that is geared towards physicians who are listed on the ‘approved list’ of California Physicians / healthcare specialists.
In addition to their work with developing a new billing fee schedule for approved California physicians, American Lien and Shannon Oconnor are also involved with a variety of other aspects in their contract with the state.
American Lien and Shannon Oconnor consultant in a number of areas, including the following:
Billing: Billing often requires more than one set of eyes to handle thoroughly, and this is especially true in the case of large accounts or groups of accounts. American Lien and Shannon Oconnor work diligently to utilize their expertise in billing to help the State of California ensure the best practices are being undergone in the area of workers compensation.
Enforcement: When it comes to both coding and billing, American Lien and Shannon Oconnor are highly qualified to provide enforcement services. American Lien and Shannon Oconnor are licensed in the state of California to address a large number of areas within the states Workers Compensation system.
American Lien and Shannon Oconnor are committed to utilizing their experience and expertise in the creation of the State of California’s new billing fee schedule for its approved physicians and other healthcare specialists.
Shannon Oconnor and American Lien Inc. specialize in California Workers compensation collections, consulting, and billing. American Lien Inc and Shannon OConnor are contracted with the State of California as it implements a new billing fee schedule for physicians that are on the approved list of California Physicians and specialties.
The new billing fee schedules are being devised after a new law signed by California Governor Jerry Brown brings extensive changes to the workers’ compensation system in the State. The new law enhances the system designed to protect workers who are injured on the job. It is intended to reduce costs to employers, increase benefits to injured workers, and eliminate inefficiencies and waste in the system.
Governor Brown signed the bill in September 2012 and many of its provisions went into effect on January 1, 2013. Those portions of the new law instituting a new fee schedule went into effect at the start of 2014.
American Lien Inc. and Shannon Oconnor are physician’s advocates, billing specialists, and work comp law specialists. They represent both the applicant and defense sides of cases. Shannon Oconnor and American Lien Inc. have joined forces with defense counsel to help establish better regulations and help to avoid frivolous claims.
Major highlights of the new workers’ compensation law include increasing total permanent disability benefits by about $740 million per year; a provision that no permanent disability indemnity payment is required if the employer has offered the employee a position that pays at least 85% of the compensation paid to the employee at the time of injury or if the employee works in a position that pays 100% of the compensation paid to the employee at the time of injury as specified; and funding for a $120 million return-to-work program appropriated from the Workers’ Compensation Administration Revolving Fund.
The California Governor’s office estimates that the new law will reduce the costs of workers’ compensation losses by close to $1 billion.
Shannon Oconnor and American Lien Inc. are currently contracted with the State of California to assist in the creation of a new billing fee schedule for physicians that are on the approved list of California Physicians and specialties. American Lien Inc. and Shannon Oconnor are working hand in hand with billing coding enforcement and regulation. They have been able to assist with uncovering over one hundred cases of Workers compensation billing discrepancies and physician or other healthcare specialty over-billing or miscoding techniques, and under reporting untimely AME and QME Evaluation regulations.
An AME, or Agreed Medical Evaluator, is a doctor agreed upon by an injured worker’s attorney and the insurance company. Injured workers without legal representation are now allowed to agree to an AME with the insurance company, for the protection of the worker. Agreed Medical Evaluators are usually known and trusted by all of the parties in the workers’ compensation system.
The findings of an Agreed Medical Evaluator are binding on all parties. This means that the AME’s opinion usually overrides the opinions of all other doctors in the case.
A Qualified Medical Examiner, on the other hand, is selected from a list of state-certified doctors. QME lists are generated randomly. Once an injured worker sees an AME, he or she is not entitled to see a QME. An AME may be used regardless of the year of injury. An AME physician may be a QME, but does not have to be one.
Shannon Oconnor and American Lien Inc. specialize in California Worker compensation collections, consulting, and billing.