Article

An In-depth Look into the Role of an Apricus Hospital Discharge Care Coordinator
Article

An In-depth Look into the Role of an Apricus Hospital Discharge Care Coordinator
Article

An In-depth Look into the Role of an Apricus Hospital Discharge Care Coordinator

… of our series, we will examine the discharge planning process from the perspective of an Apricus care coordinator, what a catastrophic discharge request includes and how specialty service providers ensure an injured employees' needs are met. The Role of Hospital Discharge Care Coordinators Care … in hospital discharge for workers' compensation are responsible for coordinating all services an injured employee needs to be successfully discharged from the hospital. They often work in a …
Article

Top 10 Trends from the Mitchell 2016 P&C Conference

… From augmented reality to information security, here are 10 of the many trends that were top of mind at the conference. … that uses inexpensive virtual reality headsets to ease patient pain. Early results suggest an average 24 percent decrease—similar to the pain reduction they see when administering … is submitted via a mobile app and incorporates images, cycle time is significantly reduced. An expeditious claims resolution process benefits both insurance companies, with less hands-on …
News Release

Genex Services Acquires CID Management

… Deal creates an industry-leading technology solution and utilization review program in workers' comp … Financial terms were not disclosed. With this acquisition, Genex is positioned to deliver an industry-leading utilization review (UR) program, extending its existing UR capabilities to … “Integrating CID's utilization review software and capabilities with those of Genex creates an undeniable industry leading platform,” said Peter Madeja, CEO and President of Genex …
Article

CMS Releases Version 3.0 of WCMSA Reference Guide

… corrected or clarified for reporting workers’ compensation cases; for sending yearly WCSMA account attestations; and for sending WCMSA proposals, final settlements, and re-review requests … Note). The Life Table link has been updated (Section 10.3). This guide has been updated to account for changes in the WCMSAP, which now includes a Professional Administrator role, which can upload account transactions and view account details, and the ability to submit attestations online for …
Podcast

It Starts With the Scan: How Specialty Networks Improve RTW

… role in workers’ compensation by providing essential insights into the nature and severity of an injury. Today, Jim Begg, vice president at Apricus joins us to talk about the unique role … It’s really an efficiency issue, Tom, there is a certain commoditization of radiologists reviewing the scans. … That consistency allows them to continually use the partners in the space they’d like to buy from. … customers have coverage there, we’ll sometimes go to those facilities in a concentration and buy and pay a premium to ensure they’re part of our network. That way we know we can get injured …
Article

COVID—A Year Later

… space, or family members in newly-dangerous careers of “essential work.” We scrambled to buy face masks, toilet paper and office chairs, we replaced commuting hours with binge watching … According to PwC’s US Remote Work Survey conducted in December 2020 , “Remote work has been an overwhelming success,” with 83% of employers reporting that the shift to remote work was successful, up 10 points from an already large majority of 73% back in June of 2020. With that kind of “success,” it is not …
Article

Supporting an Aging Workforce Through Ergonomics

… physical demands of patient care and handling.   26%   Recovery Time for Older Workers When an older worker gets hurt, their recovery often takes longer. That means prevention is even more … for you. According to Safety National, older workers' injury recovery time may be prolonged by an average of 13 days compared to younger workers. Chronic pre-existing conditions complicate … to minimize the occurrence of injuries in the first place. Create a More Resilient Workforce An aging workforce does not have to lead to higher injury rates or rising claims. With the right …
Article

When Do You Need an MSA?

… believe a settlement agreement will cover these expenses and decide not to pursue. As an attorney who provides support on compliance issues involving disability, Medicare and workers’ … MSAs are typically implemented when a person is a Medicare beneficiary — 65 years or older, or an individual who’s been adjudicated disabled through the Social Security disability process. The … funding available for the injured employee to pay for their future care in the settlement. An MSA is the tool designed to pay those expenses and “protect Medicare.” …
Article

When Do You Need an MSA?
Podcast

Treating LGBTQ Injured Workers: Gaining Cultural Competence with Chikita Mann

… : We have to stress the fact that, first of all, they're an individual and they have rights as an individual. They have the right to be treated with respect, they have the right to be treated … that we would be a good advocate for that injured worker? Let's focus on the fact that this is an individual who wants to go back to work, and we need to do what we can to make sure that they … And what are some strategies to help build a trusting relationship with an LGBTQ worker and a health care provider? …
Article

Is Digital Connectivity Changing The Way We Interact In The Insurance Industry?

… other. Importantly, it has also transformed the way they want to engage with the brands they buy. Today’s consumers demand deeply personalized, on-demand, omni-channel experiences, and that, … An omni-channel approach to claims resolution is just the beginning of how connectivity is … could identify mold-producing conditions before a problem develops, contact the homeowner via an app, and advise corrective measures. Smart carpet installed in a care facility could detect a …
White Paper

Ten Workers’ Comp Specialty Services You Should Know More About

…   Recovering from an injury at work doesn’t unfold in a straight line and specialized services are often needed to … when they need it. This on-point, on-time care is more important than ever. High-cost injuries account for a larger share of claims – and specialty services account for a significant share of this spending. Having the know-how to oversee specialty …
News Release

Symbicort Generic Approval on March 15, 2022

… brand name product, 160mcg/4.5 mcg and 80mcg/4.5mcg. The medication contains budesonide (an inhaled steroid to decrease inflammation) and formoterol (a long-acting beta-agonist that … or future impacts assessments, pricing information, or recommendations, please contact your Account Manager or Account Pharmacist. …
Podcast

Independence Through Home Modification

…   When an employee sustains a significant injury which requires inpatient care and rehabilitation, going … Comp, we talk with Nicole Usher of Apricus who explains how home modifications can make an injured employee’s house home sweet home again. … as installing a ramp. If the entryway has a threshold — even one to three inches— can be an obstacle for patients in a wheelchair. So, we assess the entryways, the door frames if the …
Article

Insurance Chatbots Are Transforming The Industry With Automation

… from right within the messaging and team communication platform Slack —no need to log into an app. These types of bots are not strictly utility plays, although they serve a utility …
White Paper

Guide to Selecting an Electronic Payments Vendor

… processing a paper provider check can cost claims organizations $8 per check. Selecting an electronic payment vendor takes time and energy — resources your team might not have. That’s … to bill review integration and provider engagement — all the factors between you and an electronic payment vendor that can help you save up to 90% on provider payment costs. …
White Paper

Guide to Selecting an Electronic Payments Vendor

… processing a paper provider check can cost claims organizations $8 per check. Selecting an electronic payment vendor takes time and energy — resources your team might not have. That’s … to bill review integration and provider engagement — all the factors between you and an electronic payment vendor that can help you save up to 90% on provider payment costs.   …
Article

Strategies for Adapting to an Evolving Workforce

… are having both physical and mental impacts on workers. Given that some individuals moved from an office environment to their dining room tables, it may not be surprising that the rate of … and technology that create a new, better employee experience. These are all items that are top-of-mind for industry executives as we navigate what is next in professional environments.   …
Article

Guide to Selecting an Electronic Payments Vendor

… effective and relatively simple method to move toward a paperless approach is implementing an electronic payment system to create a medical claims workflow where payment, fulfillment, … An electronic payment vendor should do more than just transmit payment for medical bills virtually. By asking the right questions, you can get a more accurate picture of the way an ePayment vendor operates and make sure you are selecting the best option for your business. …
Article

Kids’ Chance: An Extension of a Giving Industry

… public, workers’ compensation is often seen as a large government institution more than an effective health care system designed to improve the welfare of injured workers. Far too … to work, for others, the outcome is tragic. And that’s why Kids’ Chance of America is such an important program in our industry. It offers hope by providing educational opportunities and … activities. This week, our home office celebrated Kids’ Chance Awareness Week by holding an employee fundraiser that raised over $1,300.   Genex is honored to be associated with an …
Blog

Kids’ Chance: An Extension of a Giving Industry

… public, workers’ compensation is often seen as a large government institution more than an effective health care system designed to improve the welfare of injured workers. Far too … to work, for others, the outcome is tragic. And that’s why Kids’ Chance of America is such an important program in our industry. It offers hope by providing educational opportunities and … activities. This week, our home office celebrated Kids’ Chance Awareness Week by holding an employee fundraiser that raised over $1,300.   Genex is honored to be associated with an …
Author

Jennie Gailey, Esq.

… the entire Social Security program as well as the Disability and Absence divisions from an operations and customer perspective. Ms. Gailey has more than 16 years of diversified Social … In 2012, Ms. Gailey moved to a more customer- and business-focused role as a National Account Executive, where she gained extensive knowledge of long-term disability plan language and … National Director in 2015 where she was responsible for all aspects of operations and customer account management. In 2018, she was promoted to the role of Vice President of Social Security …
News Release

Bosch and Mitchell Collaborate on New Tool That Provides Repairers with an All-in-One System for Diagnostic Scanning, Calibration and Estimating

… of Ben Clymer's The Body Shop, a five-location MSO in Southern California. Brett Clymer, also an owner, said: “When repairs are complete, the MD-500 capabilities for resetting systems and …
News Release

Press Release - Drug Formulary Hearing

… implements Assembly Bill 1124 (Statutes 2015, Chapter 525), which mandated the adoption of an evidence-based workers’ compensation drug formulary into the Medical Treatment Utilization … consider all public comments, and may modify the proposed regulations for consideration during an additional 15-day public comment period. Coventry will be providing comments and plans to … Coventry client specific information regarding formulary adoption will be provided through our Account Management Team. If you have additional questions, please contact your account manager or …
Article

CMS Issues Electronic Payments Frequently Asked Questions and Answers Document

… submit payments electronically via the MSPRP. CMS has emphasized that the use of the portal is an enhancement and not a requirement. Below are a few of the 17 most frequently asked questions … a demand letter? I would like to use the electronic payment option to make a payment with an account that’s in a corporate or trust’s name rather than my own. How do I do this? The demand …
Article

CMS Issues Electronic Payments Frequently Asked Questions and Answers Document

… submit payments electronically via the MSPRP. CMS has emphasized that the use of the portal is an enhancement and not a requirement. Below are a few of the 17 most frequently asked questions … a demand letter? I would like to use the electronic payment option to make a payment with an account that’s in a corporate or trust’s name rather than my own. How do I do this? The demand …