My WebLink
|
Help
|
About
|
Sign Out
17
City of Pleasanton
>
CITY CLERK
>
AGENDA PACKETS
>
2015
>
072115
>
17
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
8/18/2015 11:46:55 AM
Creation date
7/14/2015 4:09:15 PM
Metadata
Fields
Template:
CITY CLERK
CITY CLERK - TYPE
AGENDA REPORT
DOCUMENT DATE
7/21/2015
DESTRUCT DATE
15Y
DOCUMENT NO
17
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
14
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
2. Work closely with counsel in preparing defense of litigated cases. <br />3. Obtain CLIENT's authorization on all settlements or stipulations when required. <br />4. Work closely with applicant's attorney and legal counsel in informal dispositions <br />of litigated cases. <br />5. Attend, when required, Workers' Compensation Appeals Board hearings. <br />6. Discharge on behalf of CLIENT, all legal obligations to its injured employees <br />imposed by Workers' Compensation Appeals Board and higher courts. <br />7. Protect and preserve CLIENT's interests in all potential subrogation cases. <br />D. Medical Cost Containment Services. ICS shall adhere to the following <br />medical cost containment services standards: <br />1. ICS shall use and cooperate fully with the designated medical cost containment <br />vendor (bill review and utilization review service provider) to review the medical <br />bills for the CLIENT and other medical charges and provide necessary utilization <br />review services relating to treatment requests on all claims of industrial injury or <br />illness. <br />2. Unless otherwise directed, ICS will select the service provider to be utilized and <br />CLIENT will pay for such services. The rate of services for bill review will be <br />charged at $3.00 per header, $1.00 per line, 20% of savings for all PPO savings, <br />20% of savings on all non PPO inpatient hospital bill savings and 16% of all non <br />PPO outpatient bill savings, unless otherwise negotiated. The rate for utilization <br />review services will be charged at $100 per RN determination, $220 per hour <br />(billed in '/4 hour increments) for all Physician Adviser Reviews, $310 per hour <br />(billed in ''A hour increments) for all Specialty Physician Reviews on appeal and <br />all PEER Reviews. <br />E. Information Systems. ICS will provide a computer system with appropriate <br />data base management capabilities to maintain records related to the administration of the <br />Client's workers' compensation program. ICS shall coordinate data entry for employees in <br />the program and for services supplied by ICS. The CLIENT shall have access to the <br />computer system during normal working hours and access to the database through its own <br />computers at its own expense. ICS shall provide computer - generated reports that are <br />reasonably requested on a regular basis as detailed in section F below. <br />F. Statistical. ICS will adhere to the following statistical report production <br />obligations and provide all required reports to the client at agreed to intervals: <br />1. Report to CLIENT, monthly status of claim payments and reserves on an <br />individual claim basis and in the aggregate. <br />
The URL can be used to link to this page
Your browser does not support the video tag.