Insights
Using Risk Prediction Technology to Move Claims Forward
Technology is playing a larger role in helping comp claims progress. In today’s Inside Workers’ Comp, Bobbie Doyle, director of utilization management at Genex, explains the ins and outs of a program designed to do just that. It’s called Referral Expert.
Using the ODG’s Treatment Analyzer on Outcomes to Improve RTW
Workers’ comp professionals rely on the Official Disability Guidelines (ODG) to help guide the return-to-work process for injured employees. And one of the ways ODG has helped boost this effort is through its Treatment Analyzer on Outcomes or TAO Index. In today’s Inside Workers’ Comp, Mariellen Blue joins us to explain the ins and outs of TAO.
Field Strategies for Claims Success During COVID
It’s been two months since the World Health Organization declared COVID-19 a pandemic. Our world has changed in many ways since then, but one thing that hasn’t is Genex field case managers’ commitment to move claims forward. In today’s Inside Workers’ Comp, we talk to Tim Howard, Senior Vice President of field case management, to discuss how his team is operating under restrictions and how he sees the process evolving as states start to open up.
Work Comp Guidelines for COVID-19
Over the past month, health care professionals have looked to the CDC and WHO for guidance on how to best treat the evolving coronavirus pandemic. However, for workers’ comp professionals, very few guidelines focus on specific issues that are most pertinent to their industry and the needs of injured employees. In today’s Inside Workers’ Comp, Leanne Bronold, clinical guidelines manager at Genex Services, informs us of her team’s development of such an important guidance tool.
From Homeless to Hope
As coronavirus fears continue to grip our world, we think about the nurse case managers on the front lines, helping injured employees recover. Their determination to meet this goal often goes beyond the physical injury and extends to improving the whole person. And, in a time when all of us could use an extra dose of optimism, we bring you a truly inspirational case involving Genex field case manager Becky Almskog, RN, BSN, CCM, of Colorado, who not only helped an injured employee find hope, but also a home.
What is a Pharmacy Nurse Champion?
Everyone knows nurse case managers play a vital role in reducing costs of workers’ compensation claims by guiding the continuum of care for injured employees. And now some programs are implementing the same approach to help better manage the employee’s medication regimen. At Genex, these professionals are called pharmacy nurse champions, and Bobbie Doyle, director of utilization management, joins us today to explain how they’re making a difference in claims management.
Chronicling the World of Workers’ Comp with Roberto Ceniceros
Last month, workers’ compensation lost one of its most talented reporters and influencers as Roberto Ceniceros announced his retirement.
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