Article

ADAS Calibration: The New Profit Center

… safety since the fatality rate hit its peak nearly a hundred years ago, there’s still work to do. Excessive speed continues to be a significant contributing factor in traffic deaths and … or third-party vendors, will likely need to invest in technician training if they want to do the same.  I-CAR , the  Universal Technical Institute  and the National Institute for … procedures, collision repairers can safely return damaged vehicles to the road. And they can do it all while developing a new profit center—one entirely focused on ADAS calibrations. …
Article

Quarterly Drug Update: Evaluating Combination Medications

… Why do combination medications create an issue in workers’ compensation? … Part of this may have to do with lack of awareness of available generics as well as consumer perception of generic drugs. … around the combination drug. For instance, Duexis® packaging includes wording from the FDA: “Do not substitute Duexis® with the single-ingredient products of ibuprofen and famotidine.” This …
Article

The CDC and P&C: New Opioid Guidelines a Powerful Step in the Right Direction

… 2016. The guidelines apply to adult patients with chronic pain (longer than 3 months) and do not apply to patients receiving cancer treatment, palliative care, or end-of-life care. A high … equivalents/day. When opioids are needed for acute pain, prescribe no more than needed. Do not exceed a 3 days or less, rarely greater than 7 days is needed. Do not prescribe ER/LA (OxyContin, MS Contin, or fentanyl patches) opioids for acute pain. …
Podcast

Safe at Home: Managing the Provider Shortage in Home Health

… there’s been a trend to limit inpatient care to better manage claim costs and have the person do most of the recovery at home. This makes home health a more important facet of recovery than … their homes as long as possible, it has increased the home health space and what we’re able to do in those spaces.   But also, the number of providers willing to get in that space and offer … between the doctors, the care team and it depends on are they living at home by themselves? Do they have a care team that can support them? Are they in a rural setting? Those are all …
Podcast

Exploring the Psych Effects of COVID and Emergence of PTSD in Comp

… the impact of the trauma and to help accelerate that recovery for that individual. And we do this by providing education around stress and stress reactions. We have to reassure them that … we help provide them with coping skills and what we call emotional venting because individuals do need the support. Also, as a part of this process, we will be able to really identify … to commend her for her volunteerism and as well as the hospitals for recognizing that they do need to offer this type of support, for their employees because, if left unattended, it could …
Article

Supporting Our Clients for 70 Years with Insurance Technology

… bring additional value to our clients. We’ll also continue to support the important work they do by focusing on empowering better outcomes. Another way we’ve evolved is through the adoption … that in order to remain competitive you need to have the right technology infrastructure to do so. Many insurance companies across all lines of coverage are beginning to go through very … having their claims handled, but also how companies themselves will operate. What trends are top-of-mind for you in auto physical damage? On the auto physical damage side, there are a number …
Article

Specialty Solutions Spotlight: Transportation Services in Workers’ Comp
News Release

Genex’s Catastrophic Injury Management and Crisis Response Program Brings Together Two Leading Programs in Case Management Excellence

… post-traumatic stress disorder to accelerate recovery. Doing so is not only the right thing to do but can also mitigate losses to productivity at an individual and organizational level. … and disabled employees. Genex, a clinical management leader throughout North America, serves top underwriters of employees’ compensation, automobile, disability insurance, third -party …
Article

Empowering Employees to Make Informed Decisions

… a compass, unsure how to report it, who to notify, whether they need treatment and, if they do, where to go to receive it. The best workers’ comp programs offer employers the ability to … outcomes. When a workplace injury occurs, employees need to trust their employer will do right by them. That trust extends to those assigned to manage these injuries, including …
Article

Why Provider Data Quality Matters

… decisioning improve outputs and productivity by five to six percent more than those who do not. In the healthcare industry, medical provider information is one type of data that can … series, we will explain what claims organizations can do to start making provider data quality improvements. …
Article

Diagnostics Systems Key to Proper and Safe Repairs for Fountain Valley Body Shop

… the safety of their vehicles. 1 When I have these vehicles come in as technical as they do, I really need a tool that gives me that ability to quickly understand what’s going on with … to ensure a proper and safe repair. “When I have these vehicles come in as technical as they do, I really need a tool that gives me that ability to quickly understand what’s going on with …
Article

Top 20 Reasons to Consider an Independent Medical Exam

… on a claim and help provide a strategy for timely and cost-effective claim resolution. But how do you know if your claim could benefit from an Independent Medical Examination? Outlined below …
Blog

How Long is a Filled Prescription Good For? Does the Medication Ever Go Bad?

… use dates and storage conditions indicated on the label. In some instances, failing to do so can be particularly dangerous. For example, the prescription medication tetracycline can …
News Release

FDA Authorizes Use of First at Home COVID-19 Test Kit

… should self-isolate and seek additional care from their healthcare provider. Negative results do not necessarily preclude SARS-CoV-2 infection, and those persons with negative tests should …
Article

North Carolina Utilization Rules for Opioid and Other Pharmacological Pain Management Treatment

… When do the new rules apply? …
Article

North Carolina Utilization Rules for Opioid and Other Pharmacological Pain Management Treatment

… When do the new rules apply? …
Conference

Guidewire Connections 2018

… the Guidewire platform, and Guidewire collaboration tools to inspire their teams to do new and amazing things that bring success to their organizations. Guidewire Connections takes …
Podcast

A Closer Look at California MPNs

… And what do you mean by channeling? … the California fee schedule. An additional contractual relations discount that are taken on top of that fee schedule which they feel, at times, impacts their practice negatively. The … concerns and, hopefully, brainstorm and propose some additional solutions. And the goal is to do this with the Division of Workers’ Compensation rather than at a legislative level, to see …
Podcast

Pulsing Recovery: Bone Growth Stimulation's Impact on Comp

… Usher, Sr. Director of Operations, Apricus, returns to talk about a DME device designed to do just that, the bone growth stimulator. Nicole, welcome back to the Enlyte Envision podcast. … So, this can vary dependent on the treating physician or the treating doctor. We do see BGS prescribed typically, after about three-to-six months of no progress in healing. The … a smoker. So, BGS is prescribed dependent on the treating physician at certain points. But we do see this around three to six months of non-healing or delayed healing. …
News Release

Mitchell, Genex and Coventry Unite Under a Single, New Brand: Meet Enlyte

… group will continue to develop and offer the Mitchell-branded suite of solutions as they do today, dedicated to superior service and expertise in collision repair and claims.  “We are … and disabled workers. Genex, a clinical management leader throughout North America, serves the top underwriters of workers’ compensation, automobile, disability insurance, third-party …
News Release

Mitchell, Genex and Coventry Unite Under a Single, New Brand: Meet Enlyte

… group will continue to develop and offer the Mitchell-branded suite of solutions as they do today, dedicated to superior service and expertise in collision repair and claims. “We are … and disabled workers. Genex, a clinical management leader throughout North America, serves the top underwriters of workers’ compensation, automobile, disability insurance, third-party …
Article

COVID-19 Ripple Effect on Auto Insurance Market

… to vacation. Going on a road trip will likely be the most convenient and affordable way to do so (especially with the fall in gas prices ). … lessons from this experience—and those that use this as an opportunity to reimagine how they do business will be best equipped to adapt to changing conditions that position them for …
Article

Are You Paying for Mistakes? The Impact of Errors in Workers' Comp Medical Billing

… How Do These Errors Happen? … one of two categories: an error or an abuse. Split billing is considered an error when coders do not understand the appropriate process to submit a bill correction to include additional …
Article

What is Credentialing? Why Should I Care?

… nature of the adverse event.  At Coventry, we take network management seriously. We want to do everything possible to ensure that the providers in our network have the education and …
Blog

Texas Non-subscriber Case Management

… and common law defenses against work related lawsuits. As a result, non-subscribers who do not provide a safe work environment and adequate care could be held accountable via the civil …
Article

Top Trends in the Auto Casualty Insurance Industry - Mitchell Experts Provide Insights

… more expensive medical costs and increasing accident severity. Here are some of the top trends Mitchell’s auto casualty experts are seeing in the market that are influencing the … Auto casualty adjusters are extremely busy and often tasked with additional duties on top of their main job of adjusting claims. Outsourcing tasks like document management, bill … take any non-core work off of adjusters’ desks – ultimately leaving them to focus on what they do best. –Monica Zylstra …
Article

Celebrating Nurses Week: 7 Days Isn't Enough

… welfare of their patients, that it’s not a priority to stop and educate others on what they do. This was the fundamental reason Genex launched our Heart of Case Management (HCM) Awards …
Podcast

Combatting New Jersey Auto Casualty Challenges

… that space and there’s been a perception that it’s a very challenging and difficult process to do. So, there’s been a lack of new providers wanting to enter the space, and that certainly posed … to engage with the claim staff, and ultimately reduce the level of workload they have to do on any of these claims. … the regulations are and how the decision point review plans are defined. Those clinical staff do involve nursing staff as well as physicians for either independent medical exams or peer …