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How to Handle a Disaster in Workers’ Comp

… dealing with employee injuries, and I think really all employers should have one. In the wake of a single catastrophic injury or a mass casualty incident, chaos often ensues. It's important … your resources and implement your plan as soon as possible. You need to consider the chain of command and the action plan for locating the injured parties and notifying your stakeholders … emergency contact information for the claimant is not readily available, usually because it's an after‑hours type of referral. Now, multiply this by 10, 50, or 100. I have seen mass casualty …
Article

Specialty Solutions Spotlight: The Importance of Specialty Solutions for Workers' Compensation

… on what really matters—driving better outcomes for injured employees. Partnering with Apricus, an experienced specialty solutions provider, gives you a one-stop-shop experience for all the … recovery. We can help increase case efficiency and overall savings by offering a broad range of cost-effective local and national health care providers that cover many specialties. Our extensive specialty program ensures the needs of virtually any type of workers’ compensation case are met. Apricus’ products and services …
Article

Average Length of Rental for Repairable Vehicles: Q4 2019

… President Collision Industry Relations and Sales at Enterprise Rent-A-Car. Dan has 24 years of experience with Enterprise working within the collision repair industry. Through its ARMS® Automotive Suite of Products, Enterprise provides collision repair facilities with free cycle time reporting with … at armsautosuite.com or by contacting Dan Friedman at Daniel.Friedman@ehi.com. U.S. Length of Rental by State …
Article

Ask The Pharmacist: The Role of Ketamine in Workers’ Compensation

… ketamine play in pain management for workers' compensation cases? Developed in the 1960s as an anesthetic, ketamine quickly became a staple in emergency and battlefield medicine. Its … in pain management protocols. Despite these benefits, ketamine faces significant stigma. Much of this stems from its misuse as a recreational drug, where it is referred to as “Special K” due … and providers to consider ketamine as a legitimate treatment option. However, the medical use of ketamine is far removed from its illicit use. Administered in a controlled, clinical setting, …
News Release

Industrial Commission of Arizona Formally Adopts 2020/2021 Fee Schedule

… The Industrial Commission of Arizona has formally adopted its 2020/2021 Physicians' and Pharmaceutical fee schedule. The changes are slated to take effect on October 1, 2020. The rule started with an initial staff proposal and was revised following the public comment and hearing on June 25, … Pharmacy Solutions was actively involved during both comment periods. The final version of the rule contains some important changes to the pharmaceutical section of the fee schedule. …
Article

Average Length of Rental for Repairable Vehicles: Q1 2021

… LOR summary is produced by Enterprise Rent-A-Car . Through its ARMS® Automotive Suite of Products, Enterprise provides collision repair facilities with free cycle time reporting with … U.S. Length of Rental—Q1 2021 … Overall U.S. LOR for Q1 2021 remained stable compared to Q1 2020, with an increase of only 0.1 days. Since COVID’s impact on 2020 LOR was most evident in April’s … Louisiana saw the largest Drivable increase of 2.7 days. States that saw increases of a full day or more include AL, IA, ID, MS, OK and SD. …
Article

The Art of Creating a Physician Peer Review Panel - Part 1

… involves focusing on three key areas: geographical areas (i.e. jurisdictions where most of your business is performed) client requests contacts in the medical community Once the “where” is identified it is necessary to define the types of physicians needed to support the business. In workers’ compensation, there is a large focus on … review , physician reviewers are expected to question the treatment plan when it falls outside of guidelines. However, in utilization review, physician reviewers are expected to question the …
News Release

Mitchell Releases Integrated Repair Procedures Now with Three Levels of Integration

… Mitchell, a leading provider of technology, connectivity and information solutions to the Property & Casualty (P&C) claims and … Repair industries, today announced enhanced integration capabilities during the creation of estimates and repair plans, within an update to Mitchell Cloud Estimating. Initially released in early 2018 at the category level, … portfolio and robust SaaS infrastructure connect its customers in ways that enable tens of millions of electronic transactions to be processed each month for more than 300 insurance …
Article

Average Length of Rental for Repairable Vehicles: Q3 2017

… Average Length of Rental (LOR) for Q3 2017 landed at 12.1 days in the United States, an increase of just 0.2 days compared to Q3 2016. This is a continuation of the general course throughout the … Canada Length of Rental—Q3 2017 … Average Length of Rental (LOR) for Q3 2017 landed at 11.1 days in Canada, up 0.7 days over last year’s Q3 … than half a day. There was a large variance in provincial LOR results, similar to the lack of consistency seen among the U.S. regions. While New Brunswick was the only province to see a …
Article

KPI Spotlight: Percentage of Repair for Individual Part Types

… article, “Mitchell Collision Repair Industry Data: Q2 2018” , we discussed the importance of monitoring the overall percentage of parts repaired. While this is an important step to help ensure the correct decision-making behaviors are being put into …
Article

6 Common Causes of Work-Related Injuries and How to Treat Them

… Work-related injuries are an unfortunate reality in many professions, and as claims professionals, it’s crucial to … available for these injuries. Below, you’ll find practical solutions tailored to each type of injury, equipping you with the knowledge necessary to enhance recovery outcomes and improve the well-being of your injured employees. … Common Types of Injuries: Non-impact injuries from excessive physical effort towards an external source, such …
Article

Specialty Solutions Spotlight: Optimal Levels of Service in Home Health Care

… How can home health be optimized to ensure the appropriate level of service is received? Asking the right questions is key to providing effective home health … physical constraints and mental needs are crucial in determining the appropriate level of service, impacting both recovery and financial outcomes. To assess the level and type of … completing medical treatments and medication administration. Notably, the cost associated with an LPN is usually significantly lower than care provided by an RN. Home Health Aide Care Instead …
News Release

Industrial Commission of Arizona Releases Revised Draft Fee Schedule Proposal

… Following up on comments received at their June 25, 2020, hearing, the Industrial Commission of Arizona released a revised version of their draft fee schedule proposal for 2020/2021. Of particular note were changes in the Pharmaceutical Fee Schedule section. The Commission … provides pharmaceutical services (including prescription medication services) to all segments of the general public without restricting services to a defined or exclusive group of consumers, …
News Release

Enlyte Releases Part 1 of Annual Pharmacy Solutions Drug Trends Report

… Efforts to curtail overprescribing of opioids are seemingly having a positive impact in workers’ comp, while increases in costly … full report, which will be issued in four segments over the next several months, is to provide an overall picture of drug utilization and cost trends in workers’ comp to equip industry … of comp claim counts, Wilson said. Part 1 of the report also shows that eight of the top 10 therapeutic classes ranked by cost in 2022 experienced increases in utilization per claim, …
Podcast

Restoring Lives: How Heart of Case Management Award Winners Make a Difference

… : The Enlyte Heart of Case Management Award is a prestigious honor recognizing four case managers of Genex Services selected from a field of more than 2,000 across the country. These professionals are regarded for transcending beyond … care setting, which is where I was at the time, didn’t allow me to see him for long stretches of time. So that was what started me looking at that path. It was kind of a unique thing at the …
Article

Inside the Digital Shift of New York Workers’ Compensation

… to reconnect and discuss the latest advancements. This conference spotlighted the success of the rollout of OnBoard: Limited Release (OBLR) and provided information on forthcoming enhancements. … The Success of OBLR … debt from older systems. Increasing efficiencies: Through faster, more accurate processing of PARs. Driving better outcomes: Ensuring that stakeholders, from providers to administrators, … PARs topped the volume charts, with over 670,000 processed since OBLR began. Many of these requests pertain to topical agents such as diclofenac and lidocaine, aligning with the …
Article

Navigating the Complex Landscape of Utilization Review in Workers' Compensation

… employees are necessary and appropriate. However, the regulatory and jurisdictional nuances of UR often govern how UR is performed, and these nuances can vary significantly state-by-state. … claims management. Compliance with UR regulations is vital for maintaining the integrity of the workers' compensation system. Outlined below are the highlights of some of the state-specific guidelines that have changed the landscape of utilization review: …
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Direction of Care for Adjusters
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Genex of Canada Occupational Injury
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Causes of Delayed Workplace Recoveries
In the News

Wave of PTSD legislation introduced
Article

Kids' Chance of Indiana 2020

… Aside from being a National Partner of Kids’ Chance, Genex team members like Jane Shea are actively involved in supporting the …
Article

Kids' Chance of Indiana 2020

… Aside from being a National Partner of Kids’ Chance, Genex team members like Jane Shea are actively involved in supporting the …
News Release

Enlyte Names Steve Laudermilch EVP of Mitchell Casualty Solutions

… Enlyte, the parent brand of Mitchell, Genex and Coventry, has announced today that Steve Laudermilch has joined the company to serve as executive vice president and general manager of Mitchell’s casualty solutions group (CSG). With 25 years of senior leadership experience in … a leading property and casualty insurance company, and Deloitte Consulting. Laudermilch holds an MBA from Saint Joseph’s University, Philadelphia, and a BA in economics from Ursinus College, …
News Release

FDA Authorizes Use of First at Home COVID-19 Test Kit

… nasal swabs, is authorized for at-home use in persons 14 years and older who are suspected of having COVID-19. The test may also be used in all ages when the specimen is collected by a health care provider at a point of care facility such as a doctor's office, hospital or urgent care. Although the emergency use … a 94% positive percent agreement and a 98% negative percent agreement when compared to an FDA authorized high sensitivity SARS-CoV-2 test. The test takes about 30 minutes and an …
News Release

AvKARE Issues Voluntary Nationwide Recall of Certain Sildenafil and Trazodone Tablets

… AvKARE, Inc., a subsidiary of Amneal Pharmaceuticals located in Pulaski, Tennessee, announced a voluntary recall today, to the consumer level, for several lots of sildenafil and trazodone tablets (see table below) because they were “inadvertently packaged … a treatment for erectile dysfunction, is the active ingredient in Viagra and trazodone is an antidepressant medication with sedating properties that is also prescribed off-label to …
Article

As Crises Linger, U.S. Hospitals Continue to Face Headwinds

… by guest blogger, Jill Harris, Senior Director, Network Development at Coventry, a part of Mitchell | Genex | Coventry. The coronavirus pandemic is perhaps best depicted by the voids it carves rather than by what it yields. The disappearances of handshakes, rush hour traffic and sellout crowds at sporting events reveal the outlines of a nation transformed. Most important, of course, is the loss of more than 275,000 lives in the …
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As crises pile on, U.S. hospitals brace for a harrowing winter

… perhaps best depicted by the voids it carves rather than by what it yields. The disappearances of handshakes, rush hour traffic, and sellout crowds at sporting events reveal the outlines of a … instituted painful layoffs and other cost-cutting measures . In certain areas, it’s been an existential threat. The financial headwinds already knocking at many small, rural hospitals … it’s unclear how hospitals will endure what will surely be one of the bleakest winters in American history. This heartrending outlook isn’t indefinite, of course. Looking to the other …