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Workers' Comp Case Study

How One Carrier Saved $2M by Automating Utilization Review Decisions

1 MIN READ

At a large insurance carrier, adjusters were manually tracking utilization review (UR) determinations and cross-referencing them with incoming medical bills, often across multiple claims. Their traditional manual approach to UR was time-consuming, prone to human error and made it difficult to catch when providers billed for services that had previously been denied or exceeded the authorized limits. As a result, they paid for non-authorized treatments and lost productivity as their adjusters had to spend valuable time on administrative tasks instead of higher-priority responsibilities.
Mitchell Article

The Black Lives Matter Movement Is Changing Us for the Better

The first half of 2020 has been unprecedented. There has been some good, a lot of bad and even some ugly. But when I step back and think of one word that sums it all up, it is change. Looking back at where we were as recently as mid-February, our industry was slated for powerful growth and business-as-usual meant powering forward like any other year.
Mitchell Article

Getting Into Insurance? The Insurance Industry Outlook is Brighter than Ever

Over the last decade, the insurance industry has undergone dramatic changes that have catapulted it to the forefront of the American consciousness, driven by advancements in technology, shifts in consumer demand and growth in creative advertising. Now the last several months have brought a tidal wave of new changes upon us, and forced the industry to innovate and operate in ways we never thought possible.
Mitchell Article

Michigan No-Fault Reform: How to Prepare for the Utilization Review Administrative Rules

Michigan is in the midst of making significant changes to its auto insurance system, including allowing for new policy limits, implementing a fee schedule and requiring carriers to send certain bills through retrospective utilization review. On July 2, 2020, portions of Michigan’s no-fault reform regulations will go into effect, including the utilization review provision. As we approach the deadline, it’s important that carriers understand the state’s draft of the utilization review administrative rules, what implications the rules may have on their business and how to prepare to comply in time.
Mitchell Virtual Event

2020 mPower Virtual Conference

On-Demand

Over the past several months, the Mitchell | Genex teams have been closely monitoring the developments surrounding COVID-19 and the CDC’s recommended travel guidelines.
Auto Casualty Virtual Event

Webcast: Michigan No-Fault Reform-An Expert's Guide to the New Utilization Review Administrative Rules

On-Demand
4 MIN READ

As a part of Michigan’s no-fault auto insurance reform, new utilization review administrative rules will go into effect for insurance carriers on July 2, 2020.
Mitchell Article

Looking Ahead: 2020 Workers’ Compensation Predictions

The new decade has arrived and we are taking a look ahead at the regulatory and compliance trends we expect to hit the workers’ compensation market this year. Keep reading to find out our 2020 workers’ compensation predictions.
WorkCompWire Article

How Can You Ensure Your UR Vendor is the Hiring the Right Physicians?

1 MIN READ

The success of a utilization review organization depends on the quality of its physician network. UR physicians impact all stakeholders on a workers' compensation claim when they render a determination of medical necessity.