Author

Christina Klemm, Pharm.D., BCACP

… Christina graduated with her Doctor of Pharmacy degree from the University of Arizona in 2010 and became board certified in ambulatory care in 2015. She has 5 years’ …
CE Webinar

Cost Projections Services and Legal/Liability Nurse Reviews

… This presentation will delve into the definition, utilization, and value of these services, case studies and best practices. Claims professionals will be educated on the … and differences between medical cost projections and life care plans and learn the value of cost projections and legal/liability nurse reviews in claims management. …
Author

Stacey Jefferson

… As Senior Director of Product Management for Enlyte's Casualty Solutions’ Medical Management department, Stacey … a passionate advocate for continuous improvement, accuracy and compliance, and the usability of software and technology. …
Author

Mike McKinley

… Mike has 20 years’ experience in workers’ compensation, and is the senior director of product development for Network Solutions responsible for research, development and digital experience. Mike is a champion for tech-enabled innovation, and has spent the majority of his career providing new and improved experiences for adjusters and providers. …
Blog

Are You Thankful for Workers’ Comp?

… While we gather around the table on Thursday, many of us will give thanks for the blessings in our lives. Will workers’ comp be among them? In this edition of Inside Workers’ Comp, we asked industry experts Chikita Mann, Mark Pew and Mariellen Blue this …
Author

Valerie Lindgren

… oversees the Intellectual Property team for Casualty Solutions. Drawing on more than 29 years of experience as a registered nurse in specialties that include public health, rehabilitation, … high-risk obstetrics, Lindgren’s diverse clinical subject matter expertise supports a variety of products and services. …
News Release

WorkersCompensation.com: Beyond the Cookie Cutter

… Orlando, FL (WorkersCompensation.com) - “Diversity and Inclusion – Objective Examples of Meaningful Inclusion” panel member Chikita Mann, branch supervisor at Genex Services, told audience members a little story on Tuesday about how one of her teenagers enjoys a song with a catchy line, “…Walk the Talk.” Yes, you read that …
News Release

Risk & Insurance: Protecting Data in Motion

… Multiple points of exposure within the workers' compensation industry make it challenging to ensure the security of patient information. Another data breach in the workers' compensation world highlights the …
News Release

Several States Examine Workers' Compensation Reform

… In the new year, states continue to wrangle with many of the same issues we have seen in past years, but we are seeing some new twists and a surge of bills on a couple topics. These topics include opioids , drug formularies , directed care , … system several years ago related to attorney fees. The legislature implemented a fix a couple of years ago, but the new law left medical-only claimants without legal representation. Utah has …
Article

Workers' Compensation Medical Price Index: Q2 2017

… The National CPI for All Services as reported by the Bureau of Labor Statistics in August 2017 is 120.9, which reflects a 1.7 percent decrease since Q1 2017. For the same period of time, Q1 2017 to Q2 2017, the National Workers’ Compensation MPI decreased 2.8 percent and as … to 6.1 percent – significantly below the National CPI for All Services reported by the Bureau of Labor Statistics. Please recall that the physical medicine MPI is looking strictly at unit …
CE Webinar

Psycho-Social Stressors and Workers' Compensation

… Half of us report “struggling” with life; a third describe their stress level as “extreme.” In this session we’ll review the science and signs of stress, and then discuss different approaches to stress management in workers’ compensation. …
Article

Property Casualty 360°: 6 best practices for case managers

… for effective case management in workers' compensation. He emphasizes the importance of early intervention, clear communication, and collaboration among stakeholders to ensure … advocates for a balanced approach that prioritizes both cost efficiency and the well-being of injured workers. Read here.  …
Article

Identifying the Need for Case Management

… While catastrophic events are a clear indication of the need for field case management, there are also many other circumstances that can occur … Social Determinants of Health and Behavior Health Concerns …
News Release

Workerscompensation.com: Mental Health in WC: Increased Demand for Psychological/Psychiatric IMEs

… what is known as psychological or psychiatric independent medical examinations. These types of evaluations help determine if there are behavioral, emotional, or cognitive issues resulting from a workplace incident, as well as the extent of those issues.  Continue reading here. …
Article

WorkCompWire: Catastrophic Case Management: Strategies to Foster Best-Possible Outcomes

… By Mariellen Blue, National Director of Case Management and Tim Howard, Senior Vice President, Field Case Management at Genex Services … Today, payers will often leverage the clinical expertise of case managers to ensure their catastrophic cases get the specialized care and attention they …
CE Webinar

Legal Nurse Review & Medical Cost Projections Overview

… This session on Legal Nurse Reviews and Medical Cost Projections provides a detailed overview of these specialty case management solutions and how they assist adjusters and nurses in … costs. We discuss Legal Nurse Review services including Forensic Reviews, various types of Cost Projection solutions, and review real-life case scenarios and success stories. …
CE Webinar

Legal Nurse Review & Medical Cost Projections Overview

… This session on Legal Nurse Reviews and Medical Cost Projections provides a detailed overview of these specialty case management solutions and how they assist adjusters and nurses in … costs. We discuss Legal Nurse Review services including Forensic Reviews, various types of Cost Projection solutions, and review real-life case scenarios and success stories. …
CE Webinar

Crisis Response: Returning to Productivity After a Critical Workplace Accident

… Crisis Response programs can help employers and payers support the victims and witnesses of traumatic workplace incidents, including robberies, assaults, deaths, severe injuries, and … incident stress and Post Traumatic Stress Disorder as well as how to identify the effects of Critical Incident Stress on the workplace. …
Author

Heather Tomhave

… Heather has over 20 years of experience in the workers’ compensation industry, with a focus in Texas for the past 13 years. … (HCN) to discuss the TX WC system, how the TX HCN works, program requirements and the benefits of using the Coventry TX HCN. …
Article

Medical Considerations for Referral to Field Case Management

… video, we have outlined key medical considerations that can guide your decision-making. If any of these factors apply to your claim, it may be time to make a referral. Our expert staff of case managers is here to help facilitate timely and appropriate medical care while …
Article

Navigating Current Trends in Casualty Insurance

… disruptions brought on by the COVID-19 pandemic. The result has been a transformation of nearly every aspect of our lives from the way we work to how we shop, travel and receive medical care. Businesses, …
Virtual Event

Resilience Redefines Results

… success. This webinar examines how resilience influences the mental and physical well-being of injured employees, enabling faster and more effective recoveries. Gain practical insights into strategies that empower employees, reduce the duration of claims, and foster workplace engagement after recovery. Learn how to integrate resilience into …
Article

Navigating the OnBoard Era: Streamlining Treatment Delivery in New York State

… In the spring of 2022, the New York State Workers’ Compensation Board (WCB) rolled out OnBoard: Limited … from paper to online for health care providers, payers, and other stakeholders. Implementation of the new requirements has become front and center for payers and managed care providers due to …
CE Webinar

Ethics for Adjusters [Recording]

… Unlawful conduct consists of acts which the insurance commissioner considers a violation of the law. Licensees who do not follow these regulations can have their licenses suspended or …
CE Webinar

Specialty is the New Ancillary

… Specialized services represent 20% of work comp medical spend and are often pivotal to any recovery. Specialty networks provide a breadth of services including durable medical equipment, diagnostic imaging, translation, transportation, …
Blog

Opioid Trends Continue to Decline in 2019

… remain the #1 therapeutic class by usage and cost, however, 2019 marked the largest reduction of the last 5 years in the percentage of opioid scripts with greater than or equal to 90 MED. View the video blog here. …
Article

WorkCompWire: Mariellen Blue: California Legislation May Elevate UR Processes for All

… aim to eliminate both delays in the utilization review (UR) process and inappropriate denials of care for injured workers. In addition, it will help prevent billions of dollars in workers’ compensation billing fraud. Depending on how effective these regulations …
White Paper

How Remote Ergonomics Assessments Help Prevent Home Office Injuries

… Today, many companies are considering long-term benefits of work-from-home policies such as increased employee retention, enhanced work/life balance and … costing employers billions each year. In this insight paper, Mike Milidonis, national manager of ergonomics and employer services, explains how remote ergo assessments can make a big …