Article

CMS Announces Proposed Methods to Calculate Civil Monetary Penalties for Section 111 Reporting

… and report poor quality data. Here we will focus on proposed penalties for NGHP entities. An NGHP that fails to perform Section 111 reporting within a specified timeframe can be penalized … information should have been reported. The maximum penalty is $365K per individual per year. An NGHP that respond to CMS recovery efforts with information that contradicts Section 111 …
Article

CMS Announces Proposed Methods to Calculate Civil Monetary Penalties for Section 111 Reporting

… and report poor quality data. Here we will focus on proposed penalties for NGHP entities. An NGHP that fails to perform Section 111 reporting within a specified timeframe can be penalized … information should have been reported. The maximum penalty is $365K per individual per year. An NGHP that respond to CMS recovery efforts with information that contradicts Section 111 …
News Release

Mitchell and Genex Services Finalize Merger

… compliance capabilities with Genex's managed care services. Now, as one company, we can create an exceptional customer experience, further optimizing workflows and leveraging an unmatched inventory of claims data. With this data interpreted by our powerful analytics and … and disabled workers. Genex, a clinical management leader throughout North America, serves the top underwriters of workers' compensation, automobile, disability insurance, third-party …
Article

The Rise of the Electric Vehicle

… Volvo President and CEO Hakan Samuelsson stated that, "We will phase out cars with only an internal combustion engine, with petrol hybrid versions as a transitional option as we move … strategy is hardly unique. Daimler CEO Dieter Zetsche said that the company intends to offer an electrified variant for every model in its portfolio by 2022. GM announced in October that it …
Article

Sensors in Claims: How To Reduce Workplace Injuries

… so sophisticated and so small, a company called SENSIMED has developed a contact lens with an embedded microsensor that measures and tracks eye pressure. The resulting data enables doctors … Wearable Sensors: An Ounce of Prevention of Workplace Injuries …
News Release

Mitchell Announces Secure Blockchain Solution for Sharing Information Among Collision Industry Partners

… to protect information saved everyday on local computers across the industry. Blockchain is an ideal solution, one where stakeholders enroll to become trusted partners and agree to share data through an open and secure framework. We are working with industry partners, suppliers, repairers, OEMs …
Virtual Event

Go Paperless: Digitizing the Claims Payment Process

… payments, how billing solutions can help digitize the claims process and how to select an electronic payments vendor, read the following articles. [mpower_post_grid][mpower_single_post …
News Release

New York Extends Drug Formulary Implementation for Renewal Prescriptions

… On Wednesday, April 8, 2020, the New York State Workers' Compensation Board announced an extension of the formulary deadline for renewal prescriptions due to the current impact of …
Article

2019 CMS Medicare Payments: Proposed Changes and What They Mean for P&C Insurers

… schedules. The allowable commentary from Mitchell to CMS during the public comment periods is an optimal way to be heard by this administration. In July 2018, CMS made proposals for changes … health data. In the workers’ compensation industry, RPM can provide benefits such as recording an injured worker’s actual activity level—including diet, exercise and potential health and … for primary care services and add-on codes that should be listed separately in addition to an established patient evaluation and management visit. Additional payment codes include: …
Article

Five Questions with Assured Research President William Wilt on What’s Trending in Auto and Workers’ Comp Today

… if those tailwinds dissipate, (even a little), accelerating rate decreases will lead to an upward inflection point in the workers’ comp loss ratio. As to the sources of loss cost … prescriptions has generated a material cost tailwind for insurers, and of course, is also an important societal benefit. … if even a small fraction of those aren’t just someone’s bad luck, but rather are catalyzed by an environmental exposure to a product or workplace environment with a particular toxin? We don’t …
Article

Cobotics, a New Type of Man-Machine Collaboration

… are here to do something surprisingly human: collaborate. Hamburger chain Caliburger provides an example of how companies are using cobots to augment their human workforce. When the company … trouble retaining cooks—they literally couldn’t take the heat in the kitchen—they turned to an artificial intelligence-enabled robot named Flippy to do the job. After a rough start, the … The automotive industry was an early adopter of robotics in manufacturing, so it is no surprise that cobots continue to make …
News Release

Enlyte President Nina Smith Named a Top 25 Women Leader by Calibre One

… Enlyte’s Nina L. Smith has been selected as one of the Top 25 Women Leaders in U.S. PE-Backed Software by Calibre One, a leading international executive search organization. The list includes top CEOs and presidents who are leading fast-growing software businesses backed by prominent … client satisfaction and operational excellence to the technology sector. In addition, Smith is an active community and industry member, previously serving on the board of the Alliance for …
Author

Michele Hibbert

… workers' compensation industries. Michele is a Certified Clinical Coding Specialist (CCS-P), an Officer of Healthcare Compliance (OHCC) and a member of the American Health Information …
Article

Making Telemedicine Work for the Tech Deficient

… the technological issue to the physician’s staff and that the injured employee would need an in-person visit, he was told the claimant’s appointment would need to be rescheduled. Aware of …
Article

Workers’ Compensation: 2022 Trends & Predictions

… regulatory changes and more. To help you navigate what’s next and understand this year’s top trends, we’ve outlined Enlyte’s top 2022 workers’ compensation predictions: Staffing Shortages Will Affect Employers and Payers … To help mitigate the risk that comes with top employees leaving or retiring, claims organizations in 2022 will likely put a special focus … with enormous challenges before Omicron emerged as a highly transmissible variant. Now, an increase in breakthrough infections among vaccinated and even boosted health care workers …
Article

The Coventry VIP Program

… Coventry VIP Program is fundamental to our ongoing network investments. This program offers an array of benefits for providers, that bridges the relationships with the clients and injured … targeted education, and a single point of contact through our VIP program, we are crafting an environment where providers feel valued and equipped to deliver their best care to their …
News Release

Mitchell Named a Global Leader in Cloud Computing for Innovative, AI-Powered Appraisal Review Solution

… .—Mitchell, an Enlyte company and leading technology and information provider for the  Property & Casualty … prediction. Additionally, through patented technology, Mitchell Intelligent Review generates an AI confidence score and can be customized to suppress results that fall below a …
News Release

Mitchell Awarded Third Patent for Collision Repair Diagnostics

… Mitchell, an Enlyte company and leading technology and information provider for the Property & Casualty … to repair technicians using a diagnostic scan tool. This feature— deployed in 2020 through an integration between Mitchell Diagnostics and Mitchell TechAdvisor —automatically links DTCs …
Article

Six Questions to Ask When Evaluating a Medical Management Software Solution

… support your utilization review and case management programs is a big decision that can impact an organization’s workflow, compliance, and outcomes. Time matters and medical decisions can impact an individual’s quality of life. It’s a good practice for utilization review companies to operate …
News Release

Mitchell Diagnostics Platform Surpasses 30,000 ADAS Calibrations

… —Mitchell, an Enlyte company and leading technology and information provider for the Property & Casualty … sold in North America and must be precisely calibrated to OEM specifications following an accident to ensure they continue to function properly. Even sensors and cameras not directly …
News Release

Mitchell Introduces New Alternative for AI-Enabled Claims Processing Through Collaboration with Claim Genius

… Claim Genius will continue to deliver on this commitment while providing the industry with an innovative, scalable and cost-effective solution for claims automation." Using Mitchell … and easily edited. "Mitchell's open, cloud-based platform gives insurers the ability to create an automated claims experience that meets their needs," said Olivier Baudoux, senior vice …
Blog

A warming world poses increased risks for many workers

… grows warmer and weather patterns more volatile, many workers will face increased risks from an army of environmental hazards. This new reality will require fresh thinking about how to … disasters exacerbate challenges and risk Higher temperatures can, not surprisingly, lead to an increased number of incidents such as heat stroke and heat exhaustion, according to the EPA. …
News Release

Genex chronicles flight paramedic's rise from a deadly helicopter crash

… arduous recovery to successful and sustained return to work. The video also offers the viewer an inside look at the unsung heroes of workers’ comp, the case managers who drive the treatment … to make 10,000 phone calls and send hundreds of emails. When you’re in a position like that as an injured employee, you just don’t have the strength to do that.” The sole survivor of a crash … and disabled workers. Genex, a clinical management leader throughout North America, serves the top underwriters of workers' compensation, automobile, disability insurance, third-party …
News Release

The Key to Crash Champions’ Success—Delivering Peace of Mind

… at the fingertips of our service advisors. When one selects a component such as a frame rail, an icon appears indicating the necessary repair procedures. This workflow takes the guesswork out of what's needed. It saves us time and money on research while helping to create an accurate repair appraisal. The repair procedures are printed and given to our technicians with …
Blog

Post-traumatic Stress Disorder and Workers’ Comp

… and safe world. Post-traumatic stress disorder (PTSD) is a trauma-related disorder caused by an individual’s exposure to actual or threatened death, serious injury, or sexual violence in one … or others, having persistent negative beliefs (“Everyone is out to hurt me.”, “The world is an unsafe place.”), or feeling unable to experience happiness or other positive emotions Feeling …
News Release

Five Ways Mitchell Cloud Glass is Simplifying the Evolving Challenges of Glass Claims

… complex over the past few years, and it appears that even more complexity lies ahead. With an increasing number of vehicles equipped with Advanced Driver Assistance Systems (ADAS) that … In an increasingly mobile world where systems need to share data efficiently and securely, a …
News Release

Mitchell Reinforces Commitment to Program Freedom; Showcases Cloud Platform at SEMA 2019

… offering, Mitchell Intelligent Estimating , further reinforce the company's commitment to an open architecture ecosystem for both insurers and repairers. Mitchell first introduced its … Mitchell continues to be the only one of the three major information providers to provide an estimating application completely in the cloud. Mitchell users are no longer dependent on a …
Article

Ineffective Liability and Injury Assessment: Causes and Effects

… Throughout an organization, each adjuster may be following his or her own best practices based on individual … over or underpaying for claims and both of these scenarios pose significant challenges to an insurance carrier. More obviously, overpaying for claims can have a direct impact on the …