As we wrap up our Inside Workers’ Comp series for the year, we thought we’d leave you with a positive podcast — a bonus extra from our inspirational case study video: “Phoenix Rising: Changing Course After Tragedy.” In this exclusive interview, former flight paramedic Derek Boehm goes into extensive detail about his daring rescue on a mountain cliff after a helicopter crash, the psychological challenges he faced in coping with the loss of his flight partners and the Genex case manager who guided him on his road to recovery.
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AuditPro Resolved Overcharged Medical Services
Discover how AuditPro helped a major insurance carrier identify and correct overcharged medical services, improving bill review accuracy and cost savings.
From Machine Operator to Medical Assistant
Discover the inspiring transformation of a machine operator to a medical assistant after a workplace injury. Learn how Genex’s vocational services, career counseling, and a customized rehabilitation plan helped rebuild a career.
AuditPro Corrected Inflated Medical Billing
A client encountered billing challenges with an outpatient ASC bill concerning a procedure that involved removing a bony growth or "osteophyte." The billing problem arose when fluoroscopy, an imaging technique used during the procedure, was incorrectly billed separately instead of being included in the overall procedure cost. This error by the surgery center led to billing challenges that required correction since the fluoroscopy should not have been charged as an additional service.
Price Opportunist List and Smart PA Program Drive Decrease in Topical Utilization and Spend
Struggling with skyrocketing medication costs despite stable volumes? One workers’ compensation carrier reduced spending on dermatological/topical medications from $232k to $50k and eliminated them from their Top 10 spend categories. Discover how Enlyte’s innovative solutions made it possible.