The Compliance Corner: Using Subluxation Codes vs. Dislocation Codes
Before implementation of ICD-10-CM, during the archaic times of ICD-9-CM (was it really only 16 months ago?!), chiropractic physicians typically reported diagnosis codes from the 739 series of “non-allopathic lesions” which included “segmental and somatic dysfunction.”
The Compliance Corner: What Lies Ahead for Medical Marijuana Insurance Coverage?
Prescription protocols for medical marijuana are changing monthly due to new studies promoting use and regulatory bodies that allow the prescription of medical marijuana in their states. Medical marijuana, sometimes referred to as “Medical Jane,” has been used for medical purposes since 1550 BC in ancient Egypt to treat inflammation.
The Opioid Epidemic: Using Opioid UDS to Empower Better Outcomes
8 MIN READ
According to the Centers for Disease Control and Prevention (CDC), in 2014, more than 28,000 people died of opioid overdoses, 129 people every day as a result of drug poisoning, and 61 percent are pharmaceutical opioid or heroin related. High- profile deaths from opioid overdose have brought into the headlines obscure words from our world— fentanyl, hydrocodone, buprenorphine, quantitative mass urine assay, genetic dependency analysis and liquid chromatography-mass spectrometry.
Top 10 Trends from the Mitchell 2016 P&C Conference
At the 2016 Mitchell Property and Casualty Conference, keynotes, breakouts and everything in between were focused on technology and social trends that are changing the way we interact with one another and do business. From augmented reality to information security, here are 10 of the many trends that were top of mind at the conference.
Understanding SB1160: The New California Utilization Review Process
5 MIN READ
In the scant months leading up to its signature by California Governor, Jerry Brown, SB1160 gained a tremendous amount of attention from those in the California workers’ compensation industry. This bill, which was signed into law on Sept. 30, 2016, speaks to persistent delays and denials of medical care for injured workers, contains reforms that could considerably impact workers’ compensation programs and influence utilization review requirements nationwide.
PBMs: Integrated Solutions for Opioid Management in the Overall Claims Management Process
6 MIN READ
The opioid crisis has been top of mind for workers’ compensation leaders and claims managers for many years. Last year, the Workers’ Compensation Research Institute (WCRI) found that the newly implemented policies may be helping to curb usage.
Prepare for IAIABC Claims Release 3.1 by Starting with Your EDI Reporting Process
The IAIABC (International Association of Industrial Accident Boards and Commissions) maintains and develops electronic reporting standards in the Workers Compensation arena. Since 2003, the IAIABC Claims Release 3.0 has been in publication.