Making the Case for Nurse Case Managers
October 6, 2018
Nurse case managers play an influential role in an injured worker’s recovery, but if someone asked you, “What do nurse case managers do?” in more detail, what would you say? For National Case Management Week, we spoke with Mitchell Nurse Case Managers, Donna Battle, RN, BSN; and Sandra Sanders, RN, BSN, and Mitchell Medical Director, Dr. Zenia Cortes who shared their thoughts on the field of workers’ compensation case management.
StateWatch: Bill Review October 2018
October 1, 2018
2 MIN READKeep current with new legislation and its potential effect on your organization. This regulatory update is for informational purposes only, and provides some key highlights on state initiatives that may impact the bill review services Genex provides.
2019 CMS Medicare Payments: Proposed Changes and What They Mean for P&C Insurers
September 28, 2018
Several states in auto and workers’ compensation claims administration have adopted the Centers of Medicare and Medicaid Services’ (CMS) fee schedules and/or rules for payment of claims. The methodologies employed by CMS in provider billing and payment are typically either mandated by statute or become standards for appropriate billing and payment of claims. When Medicare adds new codes or proposes changes to fee schedules, Mitchell prepares for these changes by reviewing the proposed changes and how they could affect the Property and Casualty industry.
Before You Choose a PBM, do the Math
September 23, 2018
Cost is black & white Price alone isn’t. Your PBM must also control utilization or you’ll be seeing red.
Five Initial Evaluation Issues That May Delay Return to Work
September 20, 2018
When there’s a return to work delay, practitioners often look for problems that occurred during the course of treatment.
A New Era of Performance Management
September 19, 2018
As McKinsey and Company stated in their 2017 study on performance management, “What gets measured, gets done.”1 Performance management is a critical aspect of success in any field of business, and this is especially true in the world of auto physical damage claims. Success comes in many forms in the claims industry, from managing costs to producing proper and safe repairs.
StateWatch: Fall 2018
September 18, 2018
11 MIN READKeep current with new legislation and its potential effect on your organization. This regulatory update is for informational purposes only, and provides some key highlights on state initiatives that may impact the services Genex provides.