Workers’ compensation cases resulting in the need for home health care require specialized expertise to provide a seamless and customized transition of care. Whether an individual requires simple or complex home health, Apricus leverages a strong national network of credentialed home health care providers to coordinate the appropriate level of care for each injured employee, in a timely and compassionate manner.
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.
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.
Explore the different types of Medicare Set-Asides, learn about the CMS submission process, and stay ahead with key new reporting requirements for 2025. Tune in to our latest podcast today!
Learn how our case managers use tools and education to empower employees, promoting faster recovery and optimal health.