News Release

COVID-19 Affects Treatment in Kentucky and Texas

… On June 24, 2020, Commissioner Robert Swisher of the Kentucky Department of Workers' Claims issued an administrative order delaying the implementation of the ODG Medical Treatment Guidelines until … in Bexar, Dallas, Harris and Travis counties, which encompass the major metropolitan areas of San Antonio, Dallas, Houston and Austin. Lack of access to hospitals for elective surgeries could delay care and the return to work of injured …
News Release

Indiana Legislature Passes Drug Formulary Bill

… By Brian Allen, VP of Government Affairs … On a 67-28 vote, the Indiana House of Representatives passed Senate Bill 369 moving the state closer to the adoption of a drug formulary for the Indiana workers' compensation system. The bill, sponsored by Senator … by a URAC accredited entity with a final decision issued within five business days. There is an appeal process if the URAC entity affirms the denial of the medication. Formulary requirements …
Article

Making Telemedicine Work for the Tech Deficient

… field case manager faced when assigned to a claimant whose older flip phone was incapable of streaming video. When the case manager explained 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 the risks in delaying the appointment, the field case manager suggested he could meet with the …
News Release

Mitchell Diagnostics Platform Surpasses 30,000 ADAS Calibrations

… —Mitchell, an Enlyte company and leading technology and information provider for the Property & Casualty … and static calibrations. This milestone—achieved in just over a year since the introduction of the MD-TS21 ADAS target calibration system—demonstrates how advancements in vehicle technology … integrated diagnostic system allows technicians to complete static calibrations on hundreds of ADAS-equipped vehicles. ADAS sensors and cameras are featured on most new automobiles sold in …
Blog

What Will Opioid Legislation do for Pharmacy and Opioid Risk Management?

… overview, the legislation contains provisions that seek to encourage alternative forms of pain management, restrict the importation of illegal substances into the United States, reduce excess opioid prescriptions, promote safe … in electronic health records, when requested by the patient. These legislative advances are an encouraging step forward in the effort to combat the opioid epidemic, and we will continue to …
Article

Ineffective Liability and Injury Assessment: Causes and Effects

… The cost of automobile accidents has risen significantly over the past few years. From 2015 to 2017, … challenge for many insurance carriers. Based on our experience in the industry, here are a few of the more common causes and challenges that can result in inconsistent or inaccurate … multiple workflows and integrations to consider. With so many disparate workflows and sources of information, it is no surprise that given the same claim, 10 adjusters may evaluate liability …
Article

ADAS Calibration: The New Profit Center

… deaths and injuries, along with the rise in distracted driving . To lessen the severity of accidents—including those caused by speeding—vehicle manufacturers are expanding the use of Advanced Driver Assistance Systems (ADAS).  Thanks to a voluntary pledge by 20 participating automakers working toward a common goal of eliminating as many crashes as possible, nearly all the light vehicles they produce for the …
News Release

COVID-19 P&C Industry Regulatory Compliance Dashboard

… The COVID-19 pandemic has generated an unprecedented volume of regulatory updates for the workers' compensation and auto casualty …
News Release

Mitchell Awarded Third Patent for Collision Repair Diagnostics

… Company continues to add to its growing portfolio of issued U.S. patents covering its best-in-class diagnostics suite … Mitchell, an Enlyte company and leading technology and information provider for the Property & Casualty … in 2018 and its second (11,151,812) in 2021. Its most recent patent covers the unique methods of using cloud-based technology to bring relevant OEM procedures directly to repair technicians …
Article

Six Questions to Ask When Evaluating a Medical Management Software Solution

… can have a major impact on not only your organization's claims outcomes, but also the lives of the injured party. When looking for a utilization review partner, make sure to ask detailed questions before making a decision. One of the first things that you should do is evaluate the medical management software that the … Disparate solutions can be costly. Lower the total cost of ownership and accelerate implementation time by asking your potential software provider if …
News Release

Mitchell Q2 Industry Trends Report Examines Shifting Claims Technology and Mobility Patterns

… —Mitchell, a leading provider of technology, connectivity and information solutions to the Property & Casualty (P&C) claims and … industries have never seen before. This quarter's report focuses on the increasing pace of innovation, with observations, data and analytics on the role of new technologies, along with expectations of industry leaders on their plans for investment in … In this edition, Ryan Mandell, Director of Claims Performance, shares insights on how the pandemic disrupted original forecasts and …
Article

Enlyte Lobbying Outlooks for 2024

… While we can’t predict the future, we can help shape it! At Enlyte, our team of experts are continually monitoring emerging trends, keeping abreast with legislation and case … law, and lobbying to help shape these complexities today and into tomorrow for the benefit of our customers and the industry. While we can’t predict the future, as we enter the 2024 Presidential Election and legislative year, we feel confident it will be an interesting one! In order to successfully navigate these regulatory complexities, Enlyte works …
News Release

Case in Point Names Genex's Chris Burgess Platinum Award Winner

… 2015 Case In Point Platinum Awards Program. Genex Services is the nation's largest provider of workers' compensation clinical services. The Case In Point Platinum Awards Program is designed to recognize leaders in case management who are improving the delivery of care in the areas they serve. Processes such as transition of care, disease management, … at the time of injury, the injured worker was placed on life support and was implanted with an automated defibrillator. Gradually, he started to respond to treatment in ensuing weeks, but …
Article

Physical Therapy Frequently Asked Questions

… in their recovery? Physical therapy (PT) focuses on the evaluation, diagnosis and treatment of individuals with physical impairments, disabilities or injuries. The primary goal of physical therapy is to help patients restore, maintain and improve their physical function, … always beneficial. Even mild strains and sprains can significantly improve with a brief course of therapy aimed at reducing swelling, enhancing motion and strength, and equipping patients with …
Article

StateWatch: Bill Review July 2019

… Division of Workers’ Compensation … MPNs from altering, adding or deleting common procedure billing codes related to a claim of service, unless authorized by the provider. Allow a health care provider or health facility, … April 4. This new law allows nurse practitioners to receive Level I accreditation for purposes of receiving 100% reimbursement under the workers’ compensation medical fee schedule, effective …
Article

StateWatch: Bill Review July 2019

… Division of Workers’ Compensation … MPNs from altering, adding or deleting common procedure billing codes related to a claim of service, unless authorized by the provider. Allow a health care provider or health facility, … April 4. This new law allows nurse practitioners to receive Level I accreditation for purposes of receiving 100% reimbursement under the workers’ compensation medical fee schedule, effective …
Article

Alternative Transitional Duty: A Win-Win for Employee, Employer and Community

…   Statistics show the longer injured employees are out of work, the more difficult it is for them to return. But, what happens when injured employees … And what types of challenges do employers have in developing transitional duty opportunities? … So, for them to pull an employee off an assembly line and recreate a job for them takes a lot of time and energy that, frankly, they may not have. So, the alternative transitional duty …
News Release

California Utilization Review Public Comment May 2025

… modification, amending documentation triggers for retrospective UR and clarifying costs of withdrawn independent medical review applications. Genex provided 2 nd round comments to the … Title 8, CA Code of Regulations, Sections 9792.24.2 and 9792.24.8 … Schedule (MTUS) from the ACOEM Practice Guidelines for the treatment and evaluation of patients who have chronic pain as defined in section 9792.20. This guideline addresses a …
News Release

Mitchell Issues 1st Quarter 2020 Industry Trends Report

… Mitchell International , a leading provider of technology, connectivity and information solutions to the Property & Casualty (P&C) Claims and … Repair industries, today released its Industry Trends Report (ITR) for the first quarter of 2020. Mitchell executives share insights on challenges that insurance executives face in the … The Auto Physical Damage Edition: Market trends continue to show more signs of acceptance of electrification, but carriers face increasing price pressures because of higher …
Case Study

Walking Toward Function

… and communication skills which she employed in helping restore a young man’s pursuit of his livelihood and physical activities.   … A 27-year-old man sustained a left-foot crush injury which left the future viability of his toes and entire foot in doubt, so much so that his physician considered below-the-knee … The thought of losing a lower extremity was devastating to the young man, who lived an active lifestyle and was engaged to be married.   …
Article

Specialty Solutions Spotlight: Common Work-From-Home Injuries

… from overuse and improper workstation setup. Spending long hours seated at a desk in front of a screen, and poor ergonomics can lead to musculoskeletal disorders (MSDs)—injuries that … Tendinitis is often identified by inflammation of the tendon, resulting in point tenderness and swelling. It frequently affects areas such as … symptoms include pain, tenderness and swelling. Treatment primarily involves rest and the use of medications aimed at alleviating pain and reducing inflammation. …
Article

Ask The Pharmacist: Exploring Drug Market Exclusivity and Generic Availability

… drugs are first introduced, they are made available as brand name only for differing lengths of time depending on the particular drug. Individuals often want to know when a generic will be released for the brand name medications to hopefully reduce the price of the medication. To better understand this, it is important to first know the process behind bringing a new drug to market. When a drug manufacturer develops an idea for a new drug, one of the first steps they take is to file a patent for the compound or …
Podcast

On the Border - State Regulations & Comp Costs

… this issue in a recent Professional Case Management column. She explains the ramifications of nursing state law restrictions and how they impact return-to-work and claim costs in our latest edition of Inside Workers’ Comp. … Compact is designed to allow nurses to practice across state lines. The problem is, only half of all states in the U.S. participate in the compact, which can cause problems in workers’ …
Article

Specialty Solutions Spotlight: Understanding Work Comp Injuries for New and Inexperienced Workers

… guide more effective claim management.  New employees may feel unsure about their role, and an injury can heighten anxiety about job security and performance. Delays in treatment can increase added stress and lead to longer disability durations, increased risk of chronic pain, frustration and disengagement, and ultimately impede recovery and inflate medical costs. When care is timely and coordinated, many of these injuries can be resolved quickly and safely. Common Inexperienced Worker Injuries Often …
Article

Trends in Paintless Dent Repair

… economy have prompted increased investments in equipment designed to repair components made of aluminum and other lightweight materials . These changes to vehicle technology and … collision repair methods, PDR—also known as paintless dent removal—restores the body of a damaged automobile to pre-loss function and appearance. It is primarily used to fix small … that require straightening, filling, sanding and repainting. In fact, according to AAA, an estimated 80% to 90% of minor dents and dings may be fixed using PDR. In this white paper, we …
Conference

AASCIF Annual Conference

… AASCIF Annual Conference brings together state funds from across the country every year for an event full of insights, education and networking. Join Mitchell | Genex for a variety of activities at this year’s event, including stopping by our booth, attending our two … to be a returning sponsor for this year’s conference. Visit the booth to discuss a variety of topics and trends with Mitchell experts, including: End-to-end workers’ compensation claims …
Article

Enlyte Pharmacy Experts Speak on Turning Challenges Into Opportunities

… You know, our clients are facing a number of challenges, when it comes to managing pharmacy and workers' compensation, I would say the two biggest challenges, one being out of network that we mentioned before is being able to see and view holistically all prescriptions, … whether they come from the retail channel, mail order, physician dispensing, or out-of-network pharmacies that may bill outside of that network, being able to holistically manage …
Article

From Reactive to Proactive: How to Leverage Data to Capture Savings

… to data anymore, it's about proactively using it to shape smarter strategies and get ahead of challenges before they become costly. … that we can use to get these early warning signals. So it's about, understanding relatedness of the claim, right? We want to make sure that we're looking at the related injuries and such. … about understanding trends and those are the things, the insights that we work to draw out of data and analytics initiatives so that we can help to surface those to our clients to be able …