This article emphasizes the need for a proactive, data-driven approach to workers’ compensation case management. Ron Skrocki critiques programs that rely on delayed, reactive intervention and outlines how integrating configurable rules, early telephonic and field case management, and robust analytics can improve outcomes and reduce costs. He urges organizations to reassess current practices, optimize provider networks, and closely monitor utilization to maximize case management's value and impact.
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Michigan No-Fault Fee Schedule: What You Need to Know Before July 2
In this webinar on June 23 at 9:30 AM PT, Mitchell regulatory, product and industry experts will provide an update on the latest information, including what is still outstanding, and share key strategies for how our products and insurers may want to address the ambiguity and prepare for the effective date.
Getting OnBoard With New York's Regulatory Changes
Over the last few years, New York has been implemented new reforms to increase the speed and efficiency of its claims process. In today’s Inside Workers' Comp, Dr. Lisa O'Connor, Genex's Associate Clinical Director, Utilization Review, tells us about one of them, OnBoard, New York’s new online web portal for processing workers’ comp claims.
Ethics for Adjusters [Recording]
Unlawful conduct consists of acts which the insurance commissioner considers a violation of the law.
Kentucky Releases Revised Pharmacy Fee Schedule Draft Rule
The Kentucky Department of Workers' Claims released a revised version of their draft pharmacy fee schedule rule, 803 KAR 25:092. This latest version responds to comments that were submitted by various stakeholders in writing and offered verbally at the January 21, 2021, hearing.
Genex Services' IME Program Earns URAC designation
Company among first to receive new certification status for independent medical exams WAYNE, PA –
WorkCompWire: 5 Things You Should Know about IMEs and COVID-19
Though the COVID-19 pandemic has presented many challenges, workers’ compensation (WC) programs have continued to push claims forward – often with the assistance of independent medical examinations (IMEs) to help make determinations on claims, medical, and return-to-work (RTW) concerns.