VWC Quarterly Highlights Report - Q4 2020
Insurance Coverage Corporations - 308 | LLC - 374 | Sole Proprietors - 141 Partnership - 10 | Other - 6 Contractor Certifications - Online Submissions 852 late insurance policy filings | $213,000 fined Insurance Carrier Compliance
No Investigation Sweeps due to COVID-19
PEO Monitoring
847 New Registrations | 286 Terminations | 41 Penalty Letters Issued
Productivity Report: Although COVID-19 dominated 2020, it allowed an opportunity for the Insurance Compliance Department to cross-train team members, re-assess and re-evaluate internal processes and procedures, and map a forward-thinking approach for the future.
Medical Fee Services
723 Total Inquiries
MFS Online 2,561 users have accessed the MFS page on the public website 1,831 users have accessed the MFS Reference Tool page
90% 4% 3% 2% <1% <1%
Claim Status Medical Bill Dispute Provider Category Maximum Fee Coding Education
MFS Dispute Resolution $1,170,871 fee scheduled maximum reimbursement amounts reviewed.
New Dispute Activity Processing New MFS Review Determinations Issued MFS Work in Progress Referrals to Judicial Resolved Request Withdrawn 377 98 71 5 3
In November, a Medical Fee Schedule Regulatory Advisory Panel/Oliver Wyman/Commission Meeting was held for preliminary review of schedule updates. A meeting was held in December for review of schedule updates.
VWC Q4 Report, 2020
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