Webcast: Michigan No-Fault Reform-An Expert's Guide to the New Utilization Review Administrative Rules
On-Demand
4 MIN READAs a part of Michigan’s no-fault auto insurance reform, new utilization review administrative rules will go into effect for insurance carriers on July 2, 2020.
Looking Ahead: 2020 Workers’ Compensation Predictions
The new decade has arrived and we are taking a look ahead at the regulatory and compliance trends we expect to hit the workers’ compensation market this year. Keep reading to find out our 2020 workers’ compensation predictions.
How Can You Ensure Your UR Vendor is the Hiring the Right Physicians?
1 MIN READ
The success of a utilization review organization depends on the quality of its physician network. UR physicians impact all stakeholders on a workers' compensation claim when they render a determination of medical necessity.
The Power of Streamlined IT Investment: Simplifying Claims Technology Implementation
4 MIN READ
This is the fourth article in a seven-part series that highlights how technology and solution integration can result in improved claim outcomes. Click to read the first, second and third articles in the series. In the past decade or so, the world has undergone tremendous technological transformation. For example, in 2008, only 139 million smartphones were sold, compared to 1.56 billion in 2018, according to Statista.
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Genex Services: A Key Service Provider in an Award-winning Strategy “Genex’s dedicated nurse case management team has been instrumental in helping us improve outcomes, and their team
The Art of Creating a Physician Peer Review Panel: Contracting and Training
4 MIN READ
In part I of the series, we discussed the first steps of developing a physician peer review panel including determining candidates for the panel and some basic steps to credentialing, including validating state licenses, experience, knowledge and other factors.
State-Mandated Formulary Implementation: Four Key Considerations
8 MIN READ
The state-mandated formulary wave is poised to continue in 2019. In just the first month of the year, an additional three states published draft or final formulary rules (New York, Montana and Kentucky). These laws provide guidance on the prescribing of medications to injured workers and are effective in addressing major workers’ compensation issues.