Bill review is complex — but the right approach can unlock major savings. Learn how to streamline the process and boost efficiency.
When it comes to physical therapy (PT), ensuring injured employees receive timely, effective care can be critical to recovery. We recently sat down with three of our Enlyte industry experts—Ted Smith, Dora Morris, and Kim Radcliffe—to discuss how a comprehensive physical medicine program can help deliver optimal results.
Industry leaders discuss impact on the growing utilization of gen AI and data analytics as well as strategies addressing clinical and auto challenges across the claims landscape.
Recovering from a broken bone can be a long and difficult journey, often accompanied by pain, diminished quality of life, and ongoing medical expenses. Accelerating the healing process is essential, and advancements in technology—like bone growth stimulators (BGS)—are transforming the recovery landscape.
An FCE is a comprehensive assessment used to determine an individual's physical abilities and limitations. This standardized testing process is typically conducted by a trained healthcare professional, such as a physical therapist or occupational therapist.
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.
New regulations, proposed legislation, and notable judicial developments made 2024 a significant year for workers' compensation pharmacy programs. For pharmacy benefit management (PBM) roles, staying on top of these changes is critical for compliance and operational efficiency. Here is a recap of some of the major developments in workers' compensation pharmacy we’re watching as we move into 2025.