Clinical Oversight Reduces Claim Costs by Recommending Discharge Over Added PT
To control escalating therapy costs, a managed care organization implemented a system of regular reviews for additional physical therapy (PT) authorization requests. They sought a clinical partner with PT expertise to provide informed recommendations on whether to discharge patients or approve continued therapy.
Ask The Pharmacist: Preventing Tetanus in Workers’ Compensation
2 MIN READ
Tetanus is a serious infectious disease that can result from workplace injuries. Caused by spores of the bacterium Clostridium tetani, tetanus is often associated with rusty nails but these spores are found in many environments, including soil, dust and animal feces. All it takes for infection is a small cut, puncture wound, or scrape—common injuries in many workplaces.
Specialty Solutions Spotlight: Charging Medical Devices Safely
2 MIN READ
Medical devices such as hearing aids, electrical stimulation devices, sleep apnea machines, glucose monitors and insulin pumps play a crucial role in injured employee care and wellness. However, understanding how to safely charge these devices is essential to prevent the risks of overheating, which can lead to fires, minor injuries or even serious burns. Failure to properly maintain and use these devices can lead to costly replacements and potential gaps in treatment or care an injured employee may need.
Ask The Pharmacist: Cosentyx and Its Place in Workers’ Comp
4 MIN READ
Are you seeing requests for Cosentyx for your injured employee but are unclear on the application of this medication? Cosentyx, a biologic medication developed by Novartis, is increasingly recognized in the treatment landscape for chronic autoimmune conditions such as plaque psoriasis, ankylosing spondylitis and psoriatic arthritis.
Understanding Normal Range of Motion for Joint Functionality
2 MIN READ
Understanding the normal range of motion (ROM) for different joints is an essential tool. It provides a solid foundation to assess workers’ compensation claims and tailor rehabilitation strategies effectively. Each joint has a generally accepted range of motion, reflecting the degrees to which it can typically move. However, it's important to recognize that individual capabilities may vary within these standard ranges.
Specialty Solutions Spotlight: Accessing Quality Hearing Aids for Workers’ Comp Claims
3 MIN READ
By understanding the different types of hearing aids, their features, and benefits, claims professionals can work with injured employees, their treating physician and case manager to select the most appropriate solution tailored to their unique hearing needs and lifestyle preferences.
Understanding HCPCS Codes as a Work Comp Adjuster
4 MIN READ
Healthcare Common Procedure Coding System (HCPCS) are a set of standardized codes used to identify medical procedures, services and supplies. Proper use of HCPCS codes not only ensures accurate reimbursement but also helps prevent fraud and abuse, particularly in injury-recovery equipment and services.