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The Workplace

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Old 05-27-2010, 02:20 PM   #46
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Re: The Workplace

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Originally Posted by over the mountain View Post
do you use collosius? i dont know if i spelled it right.
Nope, not sure what that is. Some sort of software I'm guessing?
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Old 05-27-2010, 02:25 PM   #47
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Re: The Workplace

The Truth about Colossus: Are You Just A Magnetic Image?
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Old 05-27-2010, 02:31 PM   #48
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Re: The Workplace

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Interesting. I've worked for 3 insurance companies and I've never heard of it. In fact I've never used any sort of software for determining settlement values of claims. Sure would be nice to use as a guide though.
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Old 05-27-2010, 02:47 PM   #49
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Re: The Workplace

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Originally Posted by firstdown View Post
Matty what kind of ins. adjuster property, health, etc...?
workers comp

I've also done auto and disability
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Old 05-27-2010, 03:02 PM   #50
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Re: The Workplace

Well I worked in no-fault, so we didn't do settlements. Never heard of that program being used on the BI side but it's possible it's being used now.
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Old 05-27-2010, 03:12 PM   #51
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Re: The Workplace

Quote:
Originally Posted by Mattyk View Post
Interesting. I've worked for 3 insurance companies and I've never heard of it. In fact I've never used any sort of software for determining settlement values of claims. Sure would be nice to use as a guide though.
yeah we just got a copy of collusus. pretty damning stuff in there for the way that particular insurance company determines what value to set for a PI auto neg claim. of course now that the secret is out of the bag and attys know what triggers bumps in the settlement offers, they will change their mathematical equation like approach.

kinda like how an automaker determines whether they would save more money by recalling defective vehicles and fixing them vs just letting accidents happen then hope your attorneys can limit the settlements.

geez workers comp is no picnic. so happy i do mostly auto neg with federal suits and rape cases thrown in there.
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Old 05-27-2010, 03:15 PM   #52
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Re: The Workplace

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Your not in NJ are you?
Nope, NY
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Old 05-27-2010, 03:18 PM   #53
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Re: The Workplace

Quote:
Originally Posted by over the mountain View Post
yeah we just got a copy of collusus. pretty damning stuff in there for the way that particular insurance company determines what value to set for a PI auto neg claim. of course now that the secret is out of the bag and attys know what triggers bumps in the settlement offers, they will change their mathematical equation like approach.

kinda like how an automaker determines whether they would save more money by recalling defective vehicles and fixing them vs just letting accidents happen then hope your attorneys can limit the settlements.

geez workers comp is no picnic. so happy i do mostly auto neg with federal suits and rape cases thrown in there.
WC is a nightmare, claims go on forever, the medical providers are corupt, and the attorneys are ambulance chasers. Spitzer pushed through a lot of legislation before he left but the system still needs a lot of work.
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Old 05-27-2010, 04:09 PM   #54
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Re: The Workplace

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WC is a nightmare, claims go on forever, the medical providers are corupt, and the attorneys are ambulance chasers. Spitzer pushed through a lot of legislation before he left but the system still needs a lot of work.
yup we dont touch em anymore.

matty i have a lil secret for you. doctors reduce their bills to the client after we settle and you cut the check. lol like you dont know that already thoo. but thats it, thats the only unwritten trick we have.

FD - your probably ref to CPT codes, which as collusus touches on, the more CPT codes a client/patient has, the more a computer printout shows the injuries and treatment, the more they will get paid.

we used to write out the treatments rec'd in our demands but found that adjusters werent reading and considering every treatment all the time. with CPT codes, the adjuster just plugs in the codes or counts them and the adjuster has a full data-code driven idea of the treatment. is my understanding of this correct?

so freakin ready to blow a hole thru the door and get outta here. co workers are dropping like flies.
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Old 05-27-2010, 04:48 PM   #55
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The Workplace

Quote:
Originally Posted by firstdown

Does the system in NY require getting pre approvals and the use of codes for ever procedure done on a patient?
Any treatment over $1000 requires pre-auth. The CPT codes are required for billing purposes only.
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Old 05-27-2010, 04:52 PM   #56
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Re: The Workplace

Oh and what's up with women wanting the heat turned up in the workplace? It's 77 degrees up in this bitch.
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Old 05-27-2010, 06:40 PM   #57
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Re: The Workplace

saden, you crack me up
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Old 05-27-2010, 07:05 PM   #58
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Re: The Workplace

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Oh and what's up with women wanting the heat turned up in the workplace? It's 77 degrees up in this bitch.
I used to work in a bank with all women and I fought with them every day over the damn A/C. They liked it stifling hot. I loved it when customers complained because I could turn to the women and say see, it's too damn hot in here.
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Old 05-27-2010, 07:36 PM   #59
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Re: The Workplace

Seriously. Girls like it way too hot. We have one girl in my house, and she turned the freaking HEAT on. My room is always way hotter than the rest and I like it COLLLDDDD.
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Old 05-27-2010, 08:46 PM   #60
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Re: The Workplace

cant live with 'em
cant kill 'em
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