Back to the Basics: Cost Control and the Role of Precertification and Utilization Review in Workers’ Compensation
3 MIN READ
Medical expenses, now averaging well over 60 percent of average claims costs,1 represent a significant impact on an employer’s workers’ compensation total cost of risk. This trend isn’t going away soon, as this average is expected to climb even higher in the coming years. Contributing to the climb are expenses incurred for treatment that are unrelated to an injured workers’ injury.
Do You Need a Medicare Set-Aside?
Workers' compensation payers are under increasing pressure to consider and protect Medicare's interests when settling claims. In this edition of Inside Workers’ Comp, Deborah Robinson Stewart, National Manager of Medicare Services at Genex, breaks down the basics of MSAs and offers insight of when they should be established.
How to Strategically Develop a Strong PBM Partnership
Building a strong partnership with your pharmacy benefit manager is vital to creating better outcomes. A business can take two main approaches to its relationship with its workers’ compensation pharmacy benefit manager (PBM): as either a vendor or a partner.
National Workers' Compensation and Disability Conference & Expo
The National Workers’ Compensation and Disability Conference & Expo (NWC&D) is the only national conferen
Improving Date of Injury Outcomes with Pharmacy Management
Workers’ compensation claims can extend many months or even years from date of injury until closure. This can make it difficult to pinpoint the most impactful moments of action. In retrospect, we can often see where improvements could have been made, whether that is intervening in the injured workers’ recovery or partnering with companies that set you up for claims success.
StateWatch: Summer 2018
18 MIN READ
Keep current with new legislation and its potential effect on your organization.
How to Stop Paying for Billing Mistakes: Use an Auditing Technology Platform
4 MIN READ
Medical billing mistakes are occurring at an alarming rate–external sources claim anywhere from 30 to 80 percent of medical bills could have some type of inaccuracy. Since many payors don’t have the most effective systems in place to identify billing issues, these errors are potentially costing them millions of dollars
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