Match the Right Field Case Manager to the Claim

… the right field case manager should not slow you down. The strongest results come from a clear match between the claim’s needs and the case manager’s qualifications. This ensures the claim … clearer, follow-through improves, and misunderstandings drop. The Locator lets you select a match including language options. How It Works, in a Few Quick Steps Search by ZIP code, city or state Filter by specialty and qualifications Confirm credentials and licensure Select a match, including language options Quickly place a referral Where to Access the Locator Access the …

A Team Approach to Building a Better Return-to-Work Program

… to secure an agreement with them. We also talk with the injured worker of the job tasks that match his work abilities, addressing any concerns. Communication with all parties makes this … and provider in understanding and planning the RTW process and potential work tasks that will match restrictions. … what can the worker safely do?” The case manager then goes back to job tasks for a match, and then presents those options to the supervisor, the worker and then the doctor. The …

The Artificial Intelligence Revolution

… tailored experiences for our customers, utilizing AI to provide them with policies that match their unique needs. But it's not just about the tech; it's about the peace of mind that …

Specialty Solutions Spotlight: Shortages and Rising Costs Influence on Home Health in Workers’ Comp

… and family members to assess social, lifestyle, and environmental factors that can affect the match. We also ensure that the agencies we work with have a track record of dependability and …

Specialty Solutions Spotlight: How to Keep Workers’ Compensation Home Modifications on Time and on Budget

… turning radius and power requirements Involve the injured employee and their family so plans match their daily life, encourage buy-in and reinforce the goal of safe, sustainable … What “Appropriate to the Injury” Means Aim for functional access and safety that match the injured employee’s needs at a reasonable, comparable standard to the pre‑injury …

Stop Reserve Drift Before It Becomes a Surprise

… year looks like.” “Pharmacy is climbing and I need a clean forecast.” “I need reserves that match reality, not hope.” “Negotiation is coming and I want numbers I can stand behind.” The …

Stop the Specialty Service Spiral

… Advanced insights match patients with accurately skilled providers with the correct frequency of care, to save you …

Supporting Safer, Smarter Workplaces with Physical Demands Analysis

Why Transparency in Healthcare is Important: FAIR Health Methodology

… of two differing products and create unified benchmarks for all. The FAIR Health website will match the data used by payors after deployment. This year, FAIR Health has plans to update and … majority of charges we will see in relation to the industry will be actual charge data as the top codes used represent approximately 150 of the approximate 10,000 Current Procedural …

A Checklist of 8 Support Team Qualities to Look for When Choosing a Casualty Solutions Software Vendor

… Software product support should match your needs, not a one-size-fits-all approach. Access to dedicated resources, expanded …

Aviva Canada Selects Mitchell Solutions to Help Streamline Claims Management

… integrated assignment dispatch technology is designed to enable Aviva Canada to automatically match each claim assignment to the most efficient method of inspection. With Mitchell WorkCenter … 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 …

Average Length of Rental for Repairable Vehicles: Q1 2021

… when analyzing LOR next quarter. Drivable claims were mixed across the board, averaging out to match the overall YOY increase of only 0.1 days compared to Q1 2020. Meanwhile, Non-Drivable … continued. “Newer vehicles may have less available comps in the marketplace that closely match the options of the loss vehicle, thereby creating a situation where settlement may be …

Complex Claims Need More Than a UR Determination

… providers, medication concerns, return-to-work barriers or treatment plans that do not match the injured employee’s functional progress. In these cases, UR is most useful when it is …

Specialty Solutions Spotlight: Six Ways to Improve Physical Therapy Outcomes in Workers’ Compensation

… starts Use specialty coordinators to manage logistics so clinical care is uninterrupted 3. Match the injury to the right level of expertise Not every injury needs a specialist, but when …

Specialty Solutions Spotlight: Cut Delays and Rework With Early DME Coordination

… and keep recovery on track.  Three Obstacles a Coordinator Removes  Clarifying vague orders to match diagnosis, home setup and budget while preserving clinical benefit  Routing orders in …

Specialty Solutions Spotlight: Why Prosthetic Claims Are Among the Most Complex in Workers’ Compensation

… for injured employees. A robust specialty network gives you access to providers who can match each injured employee with the right device for their medical, occupational, and lifestyle …

Reducing Disability Durations and Improving Claim Outcomes Through the Use of Transitional Duty

Mitchell Releases Two New Offerings to Solve Repair Challenges

New York Provides Data-Backed Proof That Stronger Utilization Review is a Cost-Control Strategy

… with the broader market.¹⁴ You don’t need to use more UR. Rather, UR should be customized to match your claim inventory, jurisdiction mix, and managed-care philosophy to ensure …

Average Length of Rental for Repairable Vehicles: Q2 2019

Five Guidelines for Provider Data Management

… organizations should be managing their provider data on an ongoing basis. By staying on top of data quality issues, companies can use that data to help improve decision making and claim …

Corporate Responsibility: How Employee Engagement and Community Engagement Go Hand-in-Hand

… Employee engagement is a top priority for every human resources executive, and for good reason. According to a PWC study , … program? With the understanding that there’s no single solution, many companies start with a “top-down” approach and identify causes within specific categories that are aligned with their …

Reduce Cost and Complexity in Workers’ Comp Ankle and Foot Claims

OE Versus Aftermarket Part Price Deltas: In Search of the Big Deal

Specialty Solutions Spotlight: When Shoulder Claims Stop Moving Forward

Expertise and a Strong Specialty Network are Critical in Helping Injured Workers Recover from Opioid Use Disorder

… this work falls to experienced case managers, who often have good working relationships with top providers in a given network. That strength in the clinical realm can be matched with …

The Changing Insurance Workforce: Trends and Tips for Adapting [Podcast]

… for example, “treatment that extends past expected recovery date” or “treatment that doesn’t match the diagnosis.” There’s no reason why a human should have to look for these conditions on …

Managing Medical Records is Key to Improving Third Party Claim Settlements

… A certified coder can identify this error and change it to the appropriate procedure code to match the actual office visit that occurred. Certified coders can also perform customized expert …