The Heart of the Challenge: The Role of Direction of Care in Managing Workers' Compensation Costs
3 MIN READ
At the core of the drug pricing challenges in workers' compensation is the concept of "direction of care." This refers to the ability of employers or payers to direct injured employees to a specific network of health care providers, including pharmacies.
Decoding Functional Restoration Programs: Ensuring Accurate Billing Practices
5 MIN READ
Functional Restoration Programs (also known as Functional Rehabilitation Programs or FRP) are like a well-curated menu at a restaurant—designed to help workers' compensation claimants get back to work.
Workers' comp medical costs stabilizing nationally amid state-level volatility
Curious about medical costs in the workers' comp industry? Check out the latest PC 360 article featuring insights from our Enlyte Medical Price Index (MPI) Report, with expert analysis by Michele Hibbert.
Safeguarding Medicare's Interests: Strategies and Updates
5 MIN READ
Discover insightful strategies for Medicare compliance, including essential updates on Section 111 reporting and Medicare Set-Asides. Learn best practices to efficiently resolve conditional payments and prepare for 2024 enforcement changes, safeguarding Medicare's interests in claims settlements.
Georgia Looks to Revise Civil Procedures for Vehicle Accident Settlements
2 MIN READ
In a move to address its high rates of vehicle accident settlements, the state of Georgia has passed new legislation aimed at clarifying and streamlining the settlement process.
The Regulatory Rollercoaster: A High-Stakes Game of Collaboration and Adaptability
3 MIN READ
As the workers' compensation and auto industry braces itself for the regulatory changes sweeping across Michigan, Florida and California, one thing is clear—collaboration, adaptability and a keen eye for detail will be the keys to succeeding at this high-stakes game.
Navigating the Complex Landscape of Utilization Review in Workers' Compensation
6 MIN READ
Learn about the crucial role of Utilization Review (UR) in the workers' compensation system, the importance of regulatory compliance, and the impact of state-by-state jurisdictional nuances.