Demystifying the Nuances of Specialty Bill Review Regulations
Navigate the complexities of Specialty Bill Review Regulations with Enlyte. Tune into our podcast where Trevor Davis, our Director of Regulatory Affairs, offers insights into dispute management, regulatory changes, and our strategic efforts to shape the landscape.
Safeguarding Medicare's Interests: Strategies and Updates
5 MIN READ
Discover insightful strategies for Medicare compliance, including essential updates on Section 111 reporting and Medicare Set-Asides. Learn best practices to efficiently resolve conditional payments and prepare for 2024 enforcement changes, safeguarding Medicare's interests in claims settlements.
Breaking down DME
4 MIN READ
The word “durable” brings a sense of long standing, like the words “endure” and “duration.” Durable medical equipment, or DME, refers to the sturdy devices and supplies injured workers need to maintain their daily lives as they recover. And it might be little surprise that until 2020, the most commonly ordered types of durable medical equipment remained largely the same from year to year.
Taking a look at blue light
5 MIN READ
Approximately one-third of all visible light is “high-energy visible” or “blue” light. The original source is the sun, of course, shining brightly in a clear blue sky. When you squint against the sunny glare from a sandy beach or snow-capped hill, your eyes are reacting to the intensity of blue light. At the other end of the visible spectrum, low-energy red light is much easier on the eyes; it’s why we can easily gaze upon crimson sunsets.
States Get to Work on Workers’ Comp
1 MIN READ
As the Senate continues to work overtime to tackle its health care agenda—among other initiatives—the majority of state legislatures have managed to adjourn despite passing substantial bills that could significantly affect workers’ comp.
10 Questions Every Injured Employee Should Ask When Taking Opioids
8 MIN READ
Make sure you know about each of the medications you take. This includes why you take it, how to take it, what you can expect while you’re taking it, and any warnings about the medication. The information provided in this document is general. So be sure to read the information that came with your medication. If you have any questions or concerns, talk to your pharmacist or doctor.
Transforming a Third Party Administrator’s (TPA) Telephonic Case Management Program
8 MIN READ
A mid-sized national TPA was considering outsourcing its telephonic case management services to a third party. After evaluating their current program, including ongoing financial commitment to maintain clinical staff, a decision was made to request proposals from outside parties.