Specialty Solutions Spotlight: Using Quality Physical Therapy First for Low Back Pain Helps Reduce Costs and Improves Outcomes
2 MIN READ
The U.S. health care system wastes an estimated $750 billion annually, with $200 billion attributed to overuse or unnecessary services. In workers' compensation, physical therapy can account for up to 20% of medical costs, making it crucial to ensure appropriateness and quality to manage claim costs effectively.
Ask The Pharmacist: Understanding Skeletal Muscle Relaxants in Workers' Compensation
3 MIN READ
Skeletal muscle relaxants are a leading category of prescribed medications in workers’ compensation and elsewhere in health care, often prescribed for elderly patients and as “adjuvants” for treatment of chronic pain in patients with overlapping medical conditions and multiple medications.
Demystifying the Nuances of Specialty Bill Review Regulations
Navigate the complexities of Specialty Bill Review Regulations with Enlyte. Tune into our podcast where Trevor Davis, our Director of Regulatory Affairs, offers insights into dispute management, regulatory changes, and our strategic efforts to shape the landscape.
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.
Utilizing Medical Insights to Strengthen Settlement Accuracy on High-Stakes Claims
5 MIN READ
10 Questions Every Injured Employee Should Ask When Taking Opioids
8 MIN READ
Make sure you know about each of the medications you take. This includes why you take it, how to take it, what you can expect while you’re taking it, and any warnings about the medication. The information provided in this document is general. So be sure to read the information that came with your medication. If you have any questions or concerns, talk to your pharmacist or doctor.
Transforming a Third Party Administrator’s (TPA) Telephonic Case Management Program
8 MIN READ
A mid-sized national TPA was considering outsourcing its telephonic case management services to a third party. After evaluating their current program, including ongoing financial commitment to maintain clinical staff, a decision was made to request proposals from outside parties.