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Claims Resources

...Opioids Polypharmacy Physician Dispensing Compounds Private-Label Topicals Med Monitor An up-to-date timeline of FDA drug approvals that impact workers’ comp. View Med Monitor Workers’ Comp Medication Guide A quick-reference guide...
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COVID-19 Booster Shots Coming Soon

The White House announced plans to make COVID-19 boosters available for all adults starting the week of September 20th. Boosters could only be administered eight months after an individual’s second...
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Child Labor Laws are Changing: How Could This Impact Workers’ Comp?

Since the start of the COVID-19 pandemic, the U.S. workforce has experienced serious disruption, from the Great Resignation to Quiet Quitting, and evolving labor policy for gig workers. For the...
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NCCI Highlights 2026 Legislative and Regulatory Trends

NCCI’s 2026 Emerging Legislative and Regulatory Issues report identifies heat exposure, workplace violence, and broader workers’ compensation system changes as key areas impacting workers’ compensation programs....
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FDA Advises Against NSAID Use in Pregnant Women at 20 Weeks and Later

...lead to low levels of amniotic fluid surrounding the baby and possible complications. NSAIDs are commonly used to relieve pain, and they are regularly used in workers’ comp. Common...
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COVID-19 Workplace Lessons for Employers

...as common among workers who are members of a labor union. Workplace testing was the most common in the healthcare industry, with 48% of workers testing positive at least once....
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Texas Finalizes Designated Doctor Plan-Based Audit

The Texas Division of Workers’ Compensation (DWC) has approved a new Designated Doctor Plan-Based Audit to evaluate the medical necessity and reasonableness of referrals and diagnostic testing ordered by designated...
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Marijuana Bills Could Create Protections for Employment Discrimination

...influence, leading to safety issues that could cause workplace injuries. For further information on marijuana’s impact on workers’ comp, download Healthesystems’ white paper, Clearing the Air: Marijuana Considerations for Workers’ Comp....
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Telemedicine Patterns of Use and Reimbursement

The Workers’ Compensation Research Institute (WCRI) published Telemedicine: Patterns of Use and Reimbursement, 2020Q1 – 2021Q2 – A WCRI FlashReport. Though COVID-19 cases have declined, it is assumed that the...
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Lavender Administration Shows Promise for Anxiety

...use alternative therapies more than conventional options. Organizations such as Harvard, Stanford, Duke University and the Mayo Clinic have established alternative or complementary medicine programs, and clinical evidence is surfacing...
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FDA Takes Steps to Restrict Certain Kratom Products

...growing availability and use of 7-OH opioid products. The report claims 7-OH products have significant potential for abuse and associated harms. The 7-OH compound typically only makes up a 1.6%-2%...
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For Today’s Capacity-Strapped Claims Teams, Automation Gives a Helping Hand

...duplicate bills that come through on 150 claims. That is time which can now be applied to meaningful work. Couple this with clinical logic that helps detect complexity that may...
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Expert Q&A: What Utah’s AI Prescription Renewal Pilot Signals About the Evolving Role of AI in Treatment Decisions

...consideration. The pilot is limited to processing 30-, 60-, or 90-day renewals of medications that have already been prescribed by a licensed provider. It cannot initiate new therapies or modify...
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NCCI Reports on Medical Inflation Insights

The National Council on Compensation Insurance (NCCI) published a new Medical Inflation Insights report, which provides a quarterly overview of the latest insights and analysis into what is driving changes...
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