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706 posts found

Diagnostics as a Defining Touchpoint in the Claims Journey

The timing of when specialized diagnostics tests (such as advanced imaging services like MRI and CT) should optimally occur following the onset of injury is an area where clinical approaches...
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First Responder PTSD Bills Return to the Forefront

...include firefighters, certified volunteer firefighters, non-certified volunteer firefighters, and law enforcement officers. Kansas Senate Bill 491 was introduced a week later and is currently going through committees and hearings. This...
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West Virginia Will Allow Mental Health Nurse Practitioners to Diagnose PTSD

West Virginia House Bill 2797 was signed into law and will allow mental health nurse practitioners and certified psychiatric physician assistants to diagnose post-traumatic stress disorder (PTSD) as a compensable...
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Colorado Discusses Interpreter Reimbursement at Stakeholder Meeting

On May 22nd, Healthesystems attended the Colorado Division of Workers’ Compensation (DoWC) stakeholder meeting, where the rising cost of interpretation services – now surpassing prescription drug expenses – was the...
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Comorbidities and Recovery After Physical Therapy for Low Back Pain

The Workers’ Compensation Research Institute (WCRI) published Comorbidities and Recovery After Physical Therapy for Low Back Pain, a new report that examines the prevalence of self-reported comorbidities, assesses the association...
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Healthesystems AVP of Advocacy & Compliance Named Finalist for Comp Laude Award

...issues, while also composing testimony and written commentary to deliver during public rulemaking procedures that have significant impact for our clients and industry. The Comp Laude Awards & Gala will...
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Tennessee Medical Payments Committee Meeting Highlights

...additional reimbursement to certified physicians treating workers’ comp patients. Improper application of these codes by payers led the Committee to issue corrective letters to four companies. The meeting concluded with...
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FDA Authorizes Two COVID-19 Vaccines, At-Home Test, More Treatments

...flow oxygen or mechanical ventilation. FDA Issues EUA to First At-Home Test with At-Home Results The FDA issued an EUA to the Lucira COVID-19 All-In-One Test Kit, a single-use COVID-19 test...
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Common Exceptions: The Rising Incidence of Complex Claims in Workers’ Compensation

...incidence of complex claims is increasing, and over 50% of surveyed stakeholders think that complex claims are a major challenge for the industry. Complex claims come in multiple forms and...
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Texas Division of Workers’ Compensation Publishes Biennial Report to Legislature

...where additional legislative changes may be necessary. On a high level, workers’ comp insurance rates in Texas dropped 77% since 2003, with insurance companies writing in Texas averaging a 10%...
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Private-Label Topicals: Over-the-counter analgesics go undercover as pricey prescriptions

These costly and clinically unproven topical agents are on the rise in workers’ comp...
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Expert Q&A with Sandy Shtab: The Emerging Role of AI in Workers’ Comp Healthcare – and the Regulations Surrounding It

...impact how organizations approach compliance, operational workflows, and safeguards related to AI-driven processes. Any last thoughts on AI and the future of workers’ compensation claims? Workers’ comp is a business...
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IQVIA Reports on Healthcare Shifts in the COVID-19 Era

...are: States with higher per capita testing rates will have higher positive test ratios, meaning that testing levels are still not sufficient to accurately gauge infections State testing
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Oregon to Hold Rulemaking Advisory Committee Meeting

The Oregon Workers' Compensation Division (WCD) will hold a hybrid Rulemaking Advisory Committee meeting on November 5th to discuss potential updates to key regulations. The meeting will cover annual fee...
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