While we gather around the table on Thursday, many of us will give thanks for the blessings in our lives. Will workers’ comp be among them? In this edition of Inside Workers’ Comp, we asked industry experts Chikita Mann, Mark
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Workers' Comp
Article
Functional Capacity Evaluation (FCE) Frequently Asked Questions
An FCE is a comprehensive assessment used to determine an individual's physical abilities and limitations. This standardized testing process is typically conducted by a trained healthcare professional, such as a physical therapist or occupational therapist.
Workers' Comp
Case Study
Clinical Oversight Reduces Claim Costs by Recommending Discharge Over Added PT
To control escalating therapy costs, a managed care organization implemented a system of regular reviews for additional physical therapy (PT) authorization requests. They sought a clinical partner with PT expertise to provide informed recommendations on whether to discharge patients or approve continued therapy.
Workers' Comp
Article
Workers' Compensation Pharmacy Legislative and Regulatory End of Year Recap
New regulations, proposed legislation, and notable judicial developments made 2024 a significant year for workers' compensation pharmacy programs. For pharmacy benefit management (PBM) roles, staying on top of these changes is critical for compliance and operational efficiency. Here is a recap of some of the major developments in workers' compensation pharmacy we’re watching as we move into 2025.
Workers' Comp
Podcast
Managing the Seismic Shift from Inpatient to Outpatient Physical Medicine Services
Learn how shifting rehabilitative care to outpatient services earlier in recovery impacts physical medicine networks and return-to-work outcomes in our insightful conversation with Kim Radcliffe of Enlyte.
Workers' Comp
Article
Ask The Pharmacist: Preventing Tetanus in Workers’ Compensation
Tetanus is a serious infectious disease that can result from workplace injuries. Caused by spores of the bacterium Clostridium tetani, tetanus is often associated with rusty nails but these spores are found in many environments, including soil, dust and animal feces. All it takes for infection is a small cut, puncture wound, or scrape—common injuries in many workplaces.
Workers' Comp
Case Study
Field Case Manager Delivers Early Full Duty Release
A successful recovery takes collaboration, consistency, and care. Discover how our swift action and focus on compliance helped a heavy equipment operator return to full duty 14 weeks faster than guidelines recommend, saving $12,000+ in indemnity and medical costs.