Bill review is complex — but the right approach can unlock major savings. Learn how to streamline the process and boost efficiency.
Utilization review requirements in California are in a state of limbo, with mandates from a 2016 reform bill now in effect while the industry await
Telephonic Case ManagementMeet Dana Schwartz, RN, CCMOne of the unique advantages a case manage
Field Case Management Meet Theresa Martin, RN, BSN, CCM Theresa Martin, RN, BSN, CCM, is a second-
The types of medications utilized by ill or injured workers can vary depending on the age of the claim and differences in claim population.
On December 28, 2018, the Florida Supreme Court ruled that for PIP claims, insurance carriers must apply the claimant's deductible directly against
In 2018, the top 10 therapeutic classes accounted for 77.1% of all scripts and 81.0% of all costs.