Workers’ comp professionals are seeing delayed recovery as an increased challenge in claims – as injured employees may not be progressing along a medically reasonable and expected time frame. However, it can be difficult to pinpoint exactly why the delay is occurring in order to address the issue. We may believe the injured employee is simply not complying with treatment and malingering.
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.