Insights
Balanced Regulatory Environment: A Key Component to Unlocking the Value of Specialty Bill Review
2 MIN READ
Without the use of Specialty Bill Review (SBR), payers risk paying for errors or abuses created by providers with problematic billing practices. The regulatory climate in each state is a key component to ensuring fair and reasonable payment of medical bills especially in non-fee schedule states
Ask The Pharmacist: Understanding Skeletal Muscle Relaxants in Workers' Compensation
3 MIN READ
Skeletal muscle relaxants are a leading category of prescribed medications in workers’ compensation and elsewhere in health care, often prescribed for elderly patients and as “adjuvants” for treatment of chronic pain in patients with overlapping medical conditions and multiple medications.
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.
Nurse Review Helped Carrier Settle for 70% Less Than Original Demand Amount
5 MIN READ
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.
NTHECC 2024 Fall Convention
The National Truck and Heavy Equipment Claims Council (NTHECC) is bringing its Fall Convention to Oklahoma City, where auto insurers and collision repairers alike will gather for three days of educational sessions, open forums, business meetings and more.