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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Understanding HCPCS Codes as a Work Comp Adjuster
Healthcare Common Procedure Coding System (HCPCS) are a set of standardized codes used to identify medical procedures, services and supplies. Proper use of HCPCS codes not only ensures accurate reimbursement but also helps prevent fraud and abuse, particularly in injury-recovery equipment and services.
Modifications to Living Spaces Make Injured Employees Feel at Home
When a 33-year-old man was grievously injured at work, the last thing he might have expected he would need as part of his recovery was a real estate agent.
Guidewire Connections 2024
Please join us at Guidewire Connections taking place November 17-20, 2024 at the Gaylord Opryland Resort in Nashville, TN. This year the conference will focus on the power of our P&C community.
Interpretation/Translation Frequently Asked Questions
Interpretation/translation services ensure injured employees, and their family members, can communicate effectively with health care providers and adjusters. Involving native speakers during the recovery journey reduces misunderstandings and enables injured employees to access necessary treatment and services in a language they are comfortable with.
Mitchell and Protech Join Forces to Streamline Calibration Detection
Mitchell and Protech Automotive Solutions, the largest national provider of ADAS diagnostic scanning and calibration services, today announced that they have signed an agreement to integrate Protech’s ADAS ID3 solution with Mitchell’s Diagnostics as a Service (DaaS) platform and Predictive ADAS functionality.
Ask The Pharmacist: The Role of Ketamine in Workers’ Compensation
Developed in the 1960s as an anesthetic, ketamine quickly became a staple in emergency and battlefield medicine. Its ability to act as a powerful, rapid-acting anesthetic was vital for surgeries and acute care, particularly in situations where other anesthetics were unavailable or impractical. Today, while it remains U.S. Food and Drug Administration (FDA)-approved for anesthesia, ketamine is being used off-label for chronic pain management and mental health disorders, particularly for patients who have not responded to traditional treatments.