News Release

New York Adopts Final Drug Formulary Rule

… After an extensive public review process, the New York Workers' Compensation Board adopted its final … June 5, 2019. The formulary should be operational for all new claims six months from the date of adoption, which would be December 5, 2019. This gives stakeholders the time necessary to … to the California MTUS Drug Formulary. The following summarizes the various provisions of the New York Drug Formulary: By December 5, 2019, carriers should identify all claimants …
Article

Auto Casualty Medical Price Index: Q2 2018

… The National CPI for All Services, reported by the Bureau of Labor Statistics as of August 2018, is 125.31 when adjusted to Q1 2006, which reflects a 0.9 percent increase since … percent recorded in Q3 2013. The unit cost for evaluation and management services experienced an 8.7 percent increase in Q1 2018 when compared to its Q4 2017 result, which eliminated the 5.14 …
Virtual Event

Medical Marijuana: Comparing and Contrasting Clinical and Legislative Insights

… front, we still do not have much insight into the efficacy or long-term side effects of marijuana. How might this contradiction impact the future of marijuana in workers' compensation? What do you need to know about major issues such as legalization, reimbursement and clinical efficacy? Brian Allen, VP of Government Affairs, and Dr. Mitch Freeman, Chief Clinical Officer, provide insight into these …
Article

Workers’ Compensation Medical Price Index: Q2 2018

… The National CPI for All Services reported by the Bureau of Labor Statistics as of August 2018 is 125.31 when adjusted to Q1 2006, which reflects a 0.9 percent increase since Q4 … value 142.05. The unit charge for professional services in the emergency room experienced an increase in the medical price index of 3.7 percent between Q1 2018 and Q4 2017. Since Q1 2006, …
Case Study

Big Picture, Big Success

… manager for Genex Services for two years. Prior to joining Genex, Lisa worked for 15 years as an ICU and acute rehabilitation RN. She used that experiences to help this injured worker survive … A wood shop machine malfunction caused a piece of molding to launch 100 mph toward a custom cabinet maker, striking him in the right temple. The … he be placed in a renowned traumatic brain injury rehab facility. She became the center hub of a complex team of medical and rehab providers, educating each on how the various specialties …
Article

Workers' Comp 2021 Technology Trends Report

… One year after the start of the COVID-19 pandemic, we wanted to know: How has technology use changed over the past year in … those changes sustain through into the future? To find out, we conducted our annual survey of about 100 workers’ compensation professionals. Download the Full Report > … Summary of 2021 Workers’ Compensation Technology Survey Results … (22%) of respondents ranked adapting to challenges from the COVID-19 pandemic as the top obstacle their organization is facing today, and 40% said they believe the pandemic is the …
News Release

Mitchell Announces New Automation Capabilities to Address Florida Deductible Ruling

… directly against provider charges before applying the fee schedule. This ruling has had an effect on how carriers calculate claim payments in Florida, in many cases resulting in a variety of inefficient manual workarounds. To help our clients solve for these inefficiencies, Mitchell … Overview of Functionality …
White Paper

A Day One Approach

… insight paper to learn more about how SAW/RTW programs can accelerate recovery and improve an employer’s bottom line. Download Now …
Article

What Makes the Coventry Network Different Than Other Networks?

… These dedicated 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 to ensure that they understand how to best meet the needs of the injured individuals they serve. With 70+ dedicated regulatory and compliance experts that …
Article

New CMS Section 111 Reporting Alert

… On the heels of CMS announcing July 2020 plans to upgrade the MSP Portal to allow authorized users to view and … correspondence, CMS has issued a new alert reminding Responsible Reporting Entities (RRE’s) of the importance of accurately reporting both Med Pay and Personal Injury Protection (PIP) coverage. The alert, … should use two decimal places when reporting the No-Fault Insurance Limit (e.g. a policy limit of $5,000 should be reported as 500000). As we continue to see CMS make upgrades to its systems …
Article

Motor Vehicle Markets: Q3 2017

… Tom Kontos, Executive Vice-President, ADESA Analytical Services. ADESA is a leading provider of wholesale used vehicle auctions and ancillary remarketing services. As part of the KAR Auction Services family, ADESA works in collaboration with its sister company, … but were up year-over-year for all but fullsize cars. Fleet/Lease Sales Prices were up on an annual basis even when holding constant for sale type, model-year age, mileage, and model …
Article

Health Literacy’s Impact on Delayed Recovery

… Workers’ comp professionals are seeing delayed recovery as an increased challenge in claims – as injured employees may not be progressing along a medically …
Podcast

NWCDC 19 Preview

… As you get ready to head back to Vegas, we asked Genex’s Ron Skrocki to give us a preview of what to expect at this year’s conference, including a session he’ll be presenting on Nov. 6 … Thinking about these conferences, particularly this one at the end of the year, a couple of things about them I like. First of all, for a lot of us who are in this … You see all the people in the industry that you've worked with for a lot of years. And this is an industry, like a lot of industries, with a lot of veterans. You get to see clients that maybe …
Article

Ask The Pharmacist: Asthma and Smoke Inhalation Treatments

… is a common chronic respiratory disease that leads to difficulty breathing due to the presence of inflammation and bronchoconstriction. It’s often triggered by allergens, irritants or … some occupational settings, employees may develop asthma or experience exacerbations because of airborne irritants, such as smoke or certain chemical agents (e.g., ash, pesticides, mineral … process.  For severe asthma, biologics like Xolair (generic/chemical name: omalizumab, an anti-IgE antibody) or Fasenra (generic/chemical name: benralizumab, IL-5 agonist) may be used …
Article

Self-Help Tools for Providers

… This article is authored by guest blogger, Mike McKinley, director of product development at Coventry, a part of Mitchell | Genex | Coventry. For hundreds of years medical providers have taken an oath or vow derived from  The Hippocratic Oath , which champions the ethical and humane …
Article

StateWatch: Bill Review February/March 2019

… Division of Workers’ Compensation … Workers’ Compensation Board of Indiana … has announced its postponing implementation electronic reporting requirements for first reports of injury (FROI) and subsequent reports of injury (SROI) IAIABC Release 3.1 standards. The implementation date change from Jan. 1 to … Division of Workers’ Compensation … Department of Workers’ Compensation … new rules establishing a pharmaceutical formulary to facilitate the safe and appropriate use of prescription drugs. The target implementation date is July 1. …
Article

StateWatch: Bill Review February/March 2019

… Division of Workers’ Compensation … Workers’ Compensation Board of Indiana … has announced its postponing implementation electronic reporting requirements for first reports of injury (FROI) and subsequent reports of injury (SROI) IAIABC Release 3.1 standards. The implementation date change from Jan. 1 to … Division of Workers’ Compensation … Department of Workers’ Compensation … new rules establishing a pharmaceutical formulary to facilitate the safe and appropriate use of prescription drugs. The target implementation date is July 1. …
Article

Building a Resilient Future for the Insurance Industry with DecisionPoint

… In today's insurance landscape, the shortage of experienced adjusters is more than just a challenge—it's a turning-point for claims processing … With seasoned adjusters retiring faster than new ones can be trained, this new generation of adjusters stepping into these roles today find themselves overwhelmed, without the adequate … claim outcomes. User-Friendly Design: The redesigned platform is tailored to the workflow of an adjuster. By prioritizing ease of use, we ensure that even those with minimal experience can …
News Release

Risk & Insurance: How This Nurse Case Manager Is Using Her Skills to Help Health Care Workers Cope with Burnout

… ventilators. Some will luckily survive, but some will unfortunately pass away, making a death an everyday reality for the medical workers fighting the pandemic. Continue reading here. …
Article

Health Coaching and Employee Engagement

… Promoting Overall Health and Wellness With Injured Employees Enlyte understands the importance of providing coaching and education. Most injured employees have very limited knowledge in the field of medicine or of the health care system and navigating both can be very confusing. Studies show … is the foundation that empowers the injured employee to make informed decisions and be an active participant in their recovery and return to work plan. Case managers are the coaches …
Case Study

Off the Streets and Safe from COVID

… Rebecca Almskog is a field case manager with 25 years of nursing experience in the Denver-area. She put her critical thinking skills and knowledge of local resources to work when assigned to a case involving a homeless injured employee with several comorbidities who was on the streets during the height of the COVID-19 pandemic.   … assigned to the case, Almskog learned the claimant had been living in her car at the time of the injury and worked on establishing trust with the injured employee, who was initially …
Conference

National Workers' Compensation and Disability Conference & Expo

… Agenda 3:00 pm: Light bites and refreshments are served 3:15 pm: Stacey Jefferson, director of product management, presents ReviewStat Description Hang around after the presentation for … Presentation: The Power of Perspective: Seeing the Full Picture … You won’t want to miss Mitchell Vice Presidents Bob Acosta and Erika James presenting The Power of Perspective: Seeing the Full Picture on Wednesday, December 5. Details Wednesday, December 5, …
News Release

Workers' Comp Leaders to Host First-Ever Industry Twitter Chat

… —Top media experts in workers' compensation will  join subject matter experts from Genex Services LLC, one of the nation's largest providers of managed care services, to participate in the first-ever … event,” said Skrocki, vice president, product management and development. “We've assembled an all-star panel for the Twitter Chat with some of the most-recognized names in the industry. …
Article

Gabapentinoids in Workers’ Compensation

… Nearly 20 percent of U.S. adults suffer from chronic pain . This is especially vital in the workers’ compensation … is now asking, ‘are gabapentinoids the answer to that pain?’ Current increases in prescribing of gabapentinoids and the drugs’ less addictive qualities as compared to opioids may initially … Gabapentinoids are a sub-class of anticonvulsant medications, which includes gabapentin (brand name Neurontin) and pregabalin …
Article

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

… outcomes in workers’ compensation?  Electronic Medical Records (EMRs) are digital versions of traditional paper medical charts, offering real-time, secure access to patient information for … across the health care industry.  The COVID-19 pandemic dramatically accelerated the adoption of EMR systems. The rise of telemedicine and the sudden shift to remote work made fast, remote … 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

Migraine Medication Trends in Work Comp

… Join Tom Kerr as he interviews Nikki Wilson, Senior Director of Clinical Pharmacy Services to dig into part one of our annual drug trends series . In this short video they’ll discuss standout trends from our … dive into our annual drug trends report. I'm Tom Kerr, and today we'll be highlighting a top trend from the data we observed within all calendar year retail and mail order transactions …
News Release

Enlyte Celebrates National Adjuster Day by Launching Streamlined DecisionPoint Interface

… Adjusters are often referred to as the backbone of the property and casualty industry. To celebrate these important individuals on the eve of National Adjuster Day, Aug. 17, Enlyte is launching a new interface for its DecisionPoint … “Adjusters are making important decisions that impact the lives of others from the time of an accident to claim resolution,” said Steve Laudermilch, executive vice president and general …
Article

5 Steps to Prepare for a Successful Post-COVID Future

… In the span of just about a year and a half, the auto casualty and workers’ comp insurance industry has seen … past decade. From increased technology implementation to changes in the makeup and frequency of claims, the industry appears much different than it did at the start of 2020. As we look ahead to the future, it’s important that the industry prepares now for … COVID-19, it is to be prepared for anything. Now is a great time for carriers and other types of claims organizations to assess their emergency plans and make sure they’re prepared for all …