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WCRI Blogging Live- Crossing State Lines For Medical Care


WCRI Blogging Live – Medical Care

This is the WCRI blogging live crossing States lines for Medical care

Ambulatory Surgical Centers (ASC’s) – in New York City vs. New Jersey

Preliminary Findings

Picture of WCRI Blogging Live People of science During Medical Conference

Dr. Brogdan Savych – medical researcher and author  for WCRI

Shoulder Arthroscopies average ASC cost increased significantly from 2011 through 2014 – 25%+ per year.

Half of all surgeries in New Jersey ASC’s are from New York claimants

New York City injured workers treating in New Jersey – 326% more than New York.

Pennsylvania workers on the New Jersey border do not treat that much in New Jersey.

The questions I had on this session, but had to step away to take a phone call were:

  • Why did Pennsylvania workers not treat that much in New Jersey
  • Were the physicians from New Jersey recruiting the injured workers ?
  • What are the medical control statuses in Pennsylvania, New York, and New Jersey?
  • Is there any upcoming legislation in any of these states that would change the treatment dynamics presented?

I will definitely have to update this article after I read the conference manual on this presentation.


Comment – Medical control in New York?   This article was from WCRI Blogging Live

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James J Moore - Workers Comp Expert

Raleigh, NC, United States

About The Author...

James founded a Workers’ Compensation consulting firm, J&L Risk Management Consultants, Inc. in 1996. J&L’s mission is to reduce our clients’ Workers Compensation premiums by using time-tested techniques. J&L’s claims, premium, reserve and Experience Mod reviews have saved employers over $9.8 million in earned premiums over the last three years. J&L has saved numerous companies from bankruptcy proceedings as a result of insurance overpayments.

James has over 27 years of experience in insurance claims, audit, and underwriting, specializing in Workers’ Compensation. He has supervised, and managed the administration of Workers’ Compensation claims, and underwriting in over 45 states. His professional experience includes being the Director of Risk Management for the North Carolina School Boards Association. He created a very successful Workers’ Compensation Injury Rehabilitation Unit for school personnel.

James’s educational background, which centered on computer technology, culminated in earning a Masters of Business Administration (MBA); an Associate in Claims designation (AIC); and an Associate in Risk Management designation (ARM). He is a Chartered Financial Consultant (ChFC) and a licensed financial advisor. The NC Department of Insurance has certified him as an insurance instructor. He also possesses a Bachelors’ Degree in Actuarial Science.

LexisNexis has twice recognized his blog as one of the Top 25 Blogs on Workers’ Compensation. J&L has been listed in AM Best’s Preferred Providers Directory for Insurance Experts – Workers Compensation for over eight years. He recently won the prestigious Baucom Shine Lifetime Achievement Award for his volunteer contributions to the area of risk management and safety. James was recently named as an instructor for the prestigious Insurance Academy.

James is on the Board of Directors and Treasurer of the North Carolina Mid-State Safety Council. He has published two manuals on Workers’ Compensation and three different claims processing manuals. He has also written and has been quoted in numerous articles on reducing Workers’ Compensation costs for public and private employers. James publishes a weekly newsletter with 7,000 readers.

He currently possess press credentials and am invited to various national Workers Compensation conferences as a reporter.

James’s articles or interviews on Workers’ Compensation have appeared in the following publications or websites:

  • Risk and Insurance Management Society (RIMS)
  • Entrepreneur Magazine
  • Bloomberg Business News
  • WorkCompCentral.com
  • Claims Magazine
  • Risk & Insurance Magazine
  • Insurance Journal
  • Workers Compensation.com
  • LinkedIn, Twitter, Facebook and other social media sites
  • Various trade publications


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