News Release

Enlyte and Former Genex Leaders Reach Agreement to Create New IME Business

… Enlyte and its Board of Directors have made the strategic decision to transfer its Independent Medical Examination (IME) business and more than 350 employees from Enlyte to the creation of a new, stand-alone IME company, Emperion, Inc. Emperion will be owned by Stone Point Capital, … the Workers’ Compensation, Automobile, Disability, and Health markets.  “Our industry has an increasing need for clear, objective, and independent examinations and reviews. Assisting …
Author

Addie Thomas

… a senior regulatory and government affairs specialist for Pharmacy Solutions. Ms. Thomas holds an MPA and specializes in healthcare policies. She joined Mitchell in 2018 with a background in …
Article

Care Management: Insights on Case Management in Workers Compensation

… that injured workers receive the best possible care as soon as possible to help expedite an efficient and safe return to work. Download Now …
Article

Five Questions With Shahin Hatamian on How to Incorporate More Automation in the Claims Process

… us. Whether it be corporations utilizing software platforms to eliminate the manual burden of paper, or teenagers operating financial apps like Venmo , automation is here to stay—and for good reason. Businesses today practice a variety of techniques to help automate their workflows and to reduce manual work that could be replaced … Claims organizations can boost claims processing efficiency by expanding their rate of straight-through processing. Increasing straight-through processing can shorten the lifespan …
Article

StateWatch: Bill Review April 2018

… The Division of Workers’ Compensation ( … and Ambulatory Surgical Centers section http://www.dir.ca.gov/DIRNews/2018/2018-25.pdf of the Official Medical Fee Schedule to comply to Medicare changes and is effective April 1. … also announced this month that it has suspended eight providers for fraud or loss of license. The recent actions bring the total number of suspended providers to 242 since the implementation of the anti-fraud bill, AB 1244, which …
Article

StateWatch: Bill Review April 2018

… The Division of Workers’ Compensation ( … and Ambulatory Surgical Centers section http://www.dir.ca.gov/DIRNews/2018/2018-25.pdf of the Official Medical Fee Schedule to comply to Medicare changes and is effective April 1. … also announced this month that it has suspended eight providers for fraud or loss of license. The recent actions bring the total number of suspended providers to 242 since the implementation of the anti-fraud bill, AB 1244, which …
Article

Insurtech: Improving Consumer Experiences and Relationships

… Technology is one of the hottest topics in insurance, as Insurtech innovations continue to disrupt the industry. … participated in a Twitter chat with PropertyCasualty360.com about just that. Here are some of my most important takeaways from the discussion. … One of the largest areas of technology investment for companies in the P&C industry is in using data … on a claim. Customers and insurers really want the same thing--claims paid quickly and fairly. An insurer can leverage vast data stores to help guide claims professionals and customers …
News Release

CCMC Elects Chikita Mann to Secretary Post

… MSN, CCM, case manager supervisor for Georgia at Genex Services, has been elected Secretary of the Executive Committee for the Commission for Case Manager Certification (CCMC). A commissioner since 2015, Mann will now serve as an executive member of a board that governs one of the most active and prestigious certification organizations in the … 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

Enlyte Attends NWC 2023 in Las Vegas

… Incorporating digital therapeutics, including how health apps offer patient-facing delivery of medical interventions and therapies to treat, manage, or prevent a disease or disorder as an extension of provider-patient care. Understanding health app credibility, usability, place in therapy, … presented several perspectives on the critical importance that mindset plays in the recovery of injured employees. The session was moderated by Enlyte’s Brian Allen, a nationally recognized …
News Release

Mitchell Now Offers Hyundai Structural Repair Procedures and Material Guidelines

… Mitchell, a leading provider of technology, connectivity and information solutions to the Property & Casualty (P&C) claims and Collision Repair industries, today announced availability of Hyundai structural repair procedures and material guidelines in Mitchell's software. This … in updating and expanding our comprehensive database of OEM repair information.” Produced by an in-house team of collision repair experts, the Mitchell TechAdvisor solution provides …
News Release

Mitchell Diagnostics System Surpasses Quarter Million Repair Scan Milestone; Freedom Platform Extended

… Mitchell International, Inc., a leading provider of technology, connectivity and information solutions to the Property & Casualty (P&C) claims and … enhancements to its Freedom Platform, which helps facilitate the proper and safe repair of vehicles. The Mitchell Diagnostics system was launched in July 2017 and has quickly become an industry leading solution, having now assisted insurer, independent appraiser and collision …
Virtual Event

National Comp Virtual Conference and Ongoing Digital Series

… various conditions—down to injury by body part. These protocols have been incorporated into an onsite RTW program which has resulted in a 49% reduction in the number of lost time days. … 2:00–3:00 pm ET Successfully managing workers’ compensation claims requires a delicate balance of connectivity, expertise and focus. Applying these key principles across your organization can help you to see the full picture of the claim to identify opportunities, understand data insights, apply automation and most …
Article

Home Health Care Frequently Asked Questions

… What are the benefits of home health care? … Patients receive care in the familiarity of their own home, improving comfort and satisfaction. … with established routines and activities while receiving necessary support. What types of home health services does Apricus Specialty Solutions offer? … Deep cuts often require dressing changes and monitoring for signs of infection. … Specialty Solutions offer a one-stop-shop experience to make sure those recovering from an injury get what they need, when they need it. Contact Us Today   Download the Flyer …
News Release

Aviva Canada Selects Mitchell Solutions to Help Streamline Claims Management

… — Mitchell, an Enlyte company and leading technology and information provider for the  Property & Casualty … Collision Repair industries, today announced that Aviva Canada has implemented its full suite of enterprise claims management solutions. Aviva is a leading property and casualty insurer in … Auto Physical Damage division. “We take great pride in being selected by Aviva, one of the top carriers in Canada, and look forward to supporting them in their mission to create a bright …
Article

Silver Linings in 2020 [Video]

… https://vimeo.com/470414713/28c45c6df3   In addition to Alex sharing some positive outcomes of 2020 during this year’s mPower conference, experts from across Mitchell, Genex and Coventry offered valuable insights into areas of the industry that have experienced transformations both planned and unplanned. Explore the on … market has experienced planned updates like Michigan’s no-fault auto reform to an onslaught of unexpected shifts because of the COVID-19 pandemic. We’ve seen new telemedicine regulations, …
Article

Ask The Pharmacist: Safe Drug Disposal Methods in Workers’ Compensation

… with serious risks including the potential for abuse and addiction. Patients may not be aware of the dangers of keeping unused opioids in the home and the importance of safe disposal of these medications. … 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 …
Blog

Clinical Cannabis Considerations

… It seems there is always something new to say when it comes to the hot topic of medical marijuana or “cannabis,” as it’s commonly referred to in clinical literature. But … has moved much more slowly. And when it comes to medicine, evidence matters. The subject of cannabis for medicinal use is unique in that it is one of those rare occurrences where policy … challenges; availability of guideline-supported, FDA-approved treatment alternatives, and an overall focus on risk vs. benefit. For additional insights on medical marijuana and cannabis …
News Release

Making Better UR Decisions at the Desk Level

… Genex brings together the heart and science of utilization review to extend overall medical quality … with the addition of an automated approval software-as-a-service (SaaS) platform. The advancement allows companies to … bring their overall medical strategy to every desk for improved decision-making and delivery of appropriate care for injured workers. The solution pairs Genex's automated technology with …
Article

The Compliance Corner: Using Subluxation Codes vs. Dislocation Codes

… Before implementation of ICD-10-CM, during the archaic times of ICD-9-CM (was it really only 16 months ago?!), chiropractic physicians typically reported … Subluxations refer to the misaligned position of two bones which form a joint, resulting in an alteration of movement integrity and/or physiological function. Subluxations are clinically …
Podcast

From Homeless to Hope

… beyond the physical injury and extends to improving the whole person. And, in a time when all of us could use an extra dose of optimism, we bring you a truly inspirational case involving Genex field case manager Becky … So, she’s a 64‑year‑old lady who has several comorbidities. She is a security guard at one of the grocery store distribution centers here in Colorado. And her main job was checking all of …
News Release

Enlyte Launches NJ DPR+ to Support Auto Injury Claim Management in New Jersey

… Initiative offers unique, fully integrated, comprehensive solution for national support of payer bill review workflows in New Jersey … Satisfying the requirements of the New Jersey Automobile Insurance Cost Reduction Act has been a significant challenge for … the need for insurers to coordinate any aspect of it with multiple vendors. The result is an integrated solution built upon decades of experience managing certified plans in the national …
Article

Success Story: New AI Model Helps CCMSI Seal the Cracks in the Claims Cycle

… Download a PDF Version of this Article CCMSI, a large boutique third party administrator (TPA), has been providing innovative risk management solutions to thousands of companies for more than 40 years. As artificial intelligence (AI) began emerging, CCMSI was early to adopt, and over the last several years, they developed an AI-driven intervention model that has been implemented with tremendous success. This new model …
News Release

Genex's Sue Ann Knoblauch Wins Platinum Award for Case Management

… , has been recognized as one of the top case managers in the country after recently winning the … . Genex Services is one of the nation's largest providers of managed care services to the … 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, … said. IMG_0758 Knoblauch, a case manager at Genex's San Antonio branch, won for helping an employee who sustained a serious leg-crush injury avoid a lower extremity amputation and …
CE Webinar

Ethics – How Personal Perspectives Can Shape Ethical Decisions

… Attendees will be given tools to help them better understand how personal bias can influence an ethical decision and how to stay within ethical bounds. PLEASE NOTE: In order to qualify for …
News Release

Mitchell Brings Cloud Estimating to the Canadian Market

… —Mitchell, a leading provider of technology, connectivity and information solutions to the Property & Casualty (P&C) claims and Collision Repair industries, today announced the availability of Mitchell Cloud Estimating in Canada. Carriers and collision repairers can use the cloud-based … Currency Provinces and postal codes "Mitchell has always been committed to providing an open, cloud-based platform that allows our customers to work more efficiently while remaining …
Article

Case Management Beyond Return to Work

… Like many of you, I sometimes get bogged down by the negativity that plays out in our daily newsfeeds. … who make a significant difference; in some cases, saving lives. At Genex, we celebrate our top case managers through the Heart of Case Management Award. The award is a symbol of pride … woman continued to struggle with the mental anguish of her injuries, which she sustained from an assault while restocking supplies in a men’s room. Andrea applied her experience in treating …
Article

Close More Files at Year End with Field Case Management

… fewer open questions and fewer open files. Why year end is the right moment The final weeks of the year often tighten provider schedules, reduce light duty options, and delay settlement … in the field, align providers, employers, and injured employees to one plan, and keep you out of the cycle of chasing updates or rescheduling missed appointments. Targeted field case management tasks for … Verify return to work status with an employer visit. …
News Release

Genex Services Acquires OMAC - Leading IME Provider in Pacific Northwest

… in medical cost containment and disability management services, has announced its acquisition of Objective Medical Assessments Corp. (OMAC), a leading provider of independent medical examinations (IME) and peer review services for the workers' compensation … Steffen Nelson, OMAC President, will join the Genex management team and continue his oversight of OMAC along with broadened responsibilities in the Genex IME business unit. “OMAC is the …