This includes provisions to eliminate utilization review (UR) delays and inappropriate denials of care for injured workers, as well as prevent billions of dollars in WC billing fraud. Check out the 10 things you need to know about SB 1160 to stay ahead of the complex and evolving regulations
Learn how these two drug updates could affect the workers' compensation and auto casualty industries.
Mitchell Pharmacy Solutions 2020 Annual Clinical Review analyzes industry research crucial to guide pharmacy program strategy.
It seems there is always something new to say when it comes to the hot topic of medical marijuana or “cannabis,” as it’s commonly referred to in clinical literature.
As Case Management Week comes to a close, we want to recognize all of our Coventry Case Managers for their dedication and commitment to helping injured workers return to work, to play, to life.
Download a PDF Version of this Article CCMSI, a large boutique third party administrator (TPA), has been providing innovative risk management solutions to thousands of companies for more than 40 years. As artificial intelligence (AI) began emerging, CCMSI was early to adopt, and over the last several years, they developed an AI-driven intervention model that has been implemented with tremendous success. This new model had a simple goal: Use AI to flag at-risk claims for adjusters and ensure nothing falls through the cracks throughout the claims process.
Implementing AI-driven processes improved claims analytics accuracy by 30%.