Article

KPI Spotlight: Percentage of Repair for Individual Part Types

… 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 …
News Release

Louisiana Amends Medical Marijuana Law, Exempts Reimbursement for Workplace Injuries

… pain, which says in part, "It is pain so chronic and severe as to otherwise warrant an opiate prescription." Of particular importance to the workers' compensation industry is a …
Article

Celebrating Nurses Week: 7 Days Isn't Enough

… it that we relegate just one week to honor the backbone of our health care system? To me, it’s an injustice, but I don’t hear many nurses complaining. Self-recognition is never the driving …
Article

The Shifting Landscape of Medical Costs: How Workers’ Compensation is Becoming a Payor of Last Resort

… is about 5.3% more likely to be filed as a workers' compensation claim when patients face an average health insurance deductible of $630 compared to plans with no deductible. This … often hold steady or rise during these periods. Workers’ compensation payors should keep an eye on several key areas where cost shifting tends to surface: …
Article

Six Legislative and Regulatory Changes and Trends Impacting the Insurance Industry

… led to the allowance of remote supervision, referred to as general supervision. This change is an extension of the trend that emerged during the COVID-19 pandemic in the telemedicine space. 4. … in combinations with each other. In addition to these trends, businesses must also keep an eye on the fatal crash data, as this is where the severity is the worst. Understanding this …
News Release

Mitchell Holds Annual mPower Customer Conference

… proposed remote physician monitoring and evaluation and management payment models. “This is an important area we need to watch as evaluation and management visits are a major portion of the … and General Manager of Mitchell's Casualty Solutions business unit shared the results of an ongoing initiative to improve customer experience through both solution enhancements and …
Article

Improving Outcomes in the Face of Natural Disasters

… In the case of an emergency, adjusters may have to make new prior authorization plans so care can continue … from these various disasters. Clearly, advance preparation is critical to succeeding during an emergency. That advance preparation should include discussions and contingency planning with …
Article

Texas Farm Bureau Insurance Puts Customer Service in the Driver’s Seat with Improved Workflow Processing

… a handshake. Texas Farm Bureau has thrived by emphasizing high-touch, personalized service as an operational hallmark, inspiring many customers to traditionally hand down their memberships to … appraisal assignment process helped reduce cycle times and improve the customer experience. As an added benefit, Mitchell uncovered new ways to better partner with customers and enhanced their …
Article

Long-Term Catastrophic Assessments

… life expectancy and injury severity, catastrophic claims can cost millions of dollars over an individual’s lifetime. Periodic comprehensive medical assessments are considered a best …
Article

What Makes the Coventry Network Different Than Other Networks?

… experts help negotiate and renegotiate competitive contract rates on behalf of our clients. An additional 100+ dedicated support and network management resources work with those providers …
News Release

New York State Workers’ Compensation Board Proposes Pharmacy Rule Change

… at the fee schedule rate until the pharmacy has been notified the claimant is subject to an established pharmacy network. Notice should be provided in the same manner that the …
Virtual Event

Tips to Better Manage Your Glass Business

… In the U.S., there is at least one ADAS feature on 92.7% of new vehicles. Additionally, when an ADAS-equipped automobile is involved in a collision, precise calibration of the sensors— …
Blog

What is Legal/Liability Nurse Review?

… We provided documentation and data allowing our client to challenge an alleged fall and ice related injury by researching the weather in that locale for that …
Blog

Legal Nurse Review Explained

… translation of complex medical issues into layman’s terms. While both services are billed at an hourly rate nurse review is less costly with a greater level of detail. Physicians may testify …
News Release

Genex receives 2018 Communicator Award for "Robocop: The Jeremy Romero Story"

… to Genex's case management intervention which allowed him to walk again with the assistance of an exoskeleton device. The Communicator Awards are judged and overseen by the Academy of … than 2,900 employees and 41 service locations throughout North America. The company serves the top underwriters of workers' compensation, automobile, disability insurance, third-party …
Article

Learn About The Auto Casualty Medical Price Index in 2017

… the emergency room remained nearly unchanged reflecting the first period since Q3 2016 without an increase. In Q2 2017, professional services in the emergency room experienced a 0.17 percent …
Podcast

Peter Rousmaniere Part 1: Comp’s Evolutions and Influencers

… you think of industry icons in workers’ comp, Peter Rousmaniere is among the select few at the top of the list. For more than 30 years, Peter has been a major influencer in workers’ comp, … near bankruptcies of very large insurers. That is no longer the case today, and that’s due to an improvement in insurance leadership.” —Peter Rousmaniere Another area of significant change is … near bankruptcies of very large insurers. That is no longer the case today, and that's due to an improvement in insurance leadership. …
Article

Taking a look at blue light

… shows. Many school-aged children are still in virtual classrooms too, at least part time. On top of all that, TVs are getting bigger and brighter, as are the screens of tablets and phones. … As a result, our eyes are getting weaker and less able to focus clearly on distant objects. On top of that, the rapidly refreshing images on LED screens can cause eye fatigue, especially in … - Set your phone display to block blue light or automatically adjust to ambient light - Use an e-reader like a Nook or Kindle that has a tinted screen to shield your eyes during extended …
Article

CPT 2022: Care Management and Other CPT Coding Updates

… 2022, the AMA added four new CPT codes to report Principal Care Management services, created an add-on code for CPT Code 99491 and revised existing procedure codes. In order to fully grasp …   American Medical Association. (2021). CPT | Changes 2022: An Insider's VIew. Chicago, IL, USA.     American Medical Association. (2021). CPT 2022. Chicago, …
Article

CPT 2022: Care Management and Other CPT Coding Updates

… 2022, the AMA added four new CPT codes to report Principal Care Management services, created an add-on code for CPT Code 99491 and revised existing procedure codes. In order to fully grasp …   American Medical Association. (2021). CPT | Changes 2022: An Insider's VIew. Chicago, IL, USA.     American Medical Association. (2021). CPT 2022. Chicago, …
Virtual Event

Medical Marijuana: Comparing and Contrasting Clinical and Legislative Insights

… patients will be able to pick up their prescriptions in a pharmacy. Dr. Freeman says, "This is an added level of safety because you can look for drug interactions, fraud and abuse, those types … across the country and it's clogging up the courts with a lot of needless litigation over an issue that could be easily solved on a federal level." Dr. Freeman predicts that the …
News Release

New York Adopts Final Drug Formulary Rule

… After an extensive public review process, the New York Workers' Compensation Board adopted its final … drugs when not prescribed in accordance with the formulary; Brand name drugs with an available generic, including a brand name drug formulated in a different strength or dosage; …
Blog

3 Takeaways from WCRI

… that are causing addiction and come up with improved treatment options for those that have an opioid problem. I agree 100 percent with his thoughts. Some of the suggestions he had involved … opioid medications are coming from the lowest‑ranking medical schools. I think there's an opportunity for education across the board to try to help control this problem for us. …
Article

Specialty Solutions Spotlight: Electronic Medical Records Streamline Recovery and Strengthen Claims Oversight

… physical medicine, home health care and other services, call us today at 877.203.9899 or send an email to apricus.referrals@enlyte.com .  …
Article

Ask The Pharmacist: The Role of a Pharmacy and Therapeutics (P&T) Committee

… pharmacist. Do you have a workers’ compensation or auto related pharmacy question? Send us an email at AskThePharmacist@enlyte.com . To read more Ask The Pharmacist articles, please visit …
Article

The Value of Maintaining Provider Data Accuracy

… all processing guidelines, and we measure our percentage of compliance with that process on an ongoing basis. Coventry's provider data specialists are responsible for inputting PPO network …
Article

New CMS Section 111 Reporting Alert

… that your organization has the appropriate Section 111 reporting protocols in place and an experienced reporting partner to ensure that information is accurately and timely reported to …
Blog

Why Use Antidepressants to Treat Pain?

… focus on the ongoing opioid epidemic and stricter guidelines on opioid prescribing has led to an increased utilization of non-opioid pain treatments in workers’ compensation. In a previous …