October 18, 2017

Marty Cassavoy: The Only Constant is Change: What New Contractors Mean to Medicare Compliance

Marty Cassavoy

Workers’ compensation practitioners with long memories can cite dates the way sports announcers remember games: Autumn of 2007, Summer of 2012, January of 2016. No, these are not dates tied to epic comebacks or long losing streaks. These are dates and times when the Centers’ for Medicare & Medicaid Services (CMS) employed new Medicare Secondary Payer (MSP) contractors…[Continue Reading]

Marty Cassavoy: Light at the End of the Tunnel: Medicare’s Amended Review Program

Marty Cassavoy

The Workers’ Compensation Medicare Set-Aside (MSA) program has been a thorn in the side of claims payers for the last fifteen years. MSAs evolved from a compliance vehicle that few understood to what is now a necessary evil in resolving workers’ compensation claims involving Medicare beneficiaries (as well as those soon-to-be on Medicare). Along the way…[Continue Reading]

Dr. Steven Moskowitz: Concussion Discussion: From Controversial Diagnosis to Claims Management Strategy

Dr Steven Moskowitz

Recent discussions in the news about concussions in athletes focus on a topic that has challenged healthcare providers for decades, if not centuries. Although press reports raise awareness of important issues, the headlines can over-hype the topic and cause fear or misunderstanding. The medical community now commonly agrees that a concussion is a mild brain injury…[Continue Reading]

Dr. Michael Choo: Clearing the Air: A CMO’s View on Medical Marijuana

Dr Michael Choo

Can medical marijuana support the overall objectives and goals intended by workers’ compensation industry? Can it play a role in ensuring our injured workers reach the best clinical and functional outcomes? Can it resolve opioid abuse? Some advocates claim medical marijuana could reduce the rate of opioid overdoses, rate of opioid use, and opioid addiction…[Continue Reading]

Mark Walls: The Myth of Predictive Analytics

Mark Walls 2017

The use of predictive analytics on workers’ compensation claims has been a hot topic for several years. Companies tout that their predictive analytics can reduce claims costs in many different areas. I have even seen published studies talking about the costs savings achieved with claims-related predictive analytics. There is just one problem with all of these discussions. They are all a myth…[Continue Reading]

Sherri Hickey: Implementing Medical Marijuana into Workers’ Compensation

Sherri Hickey

Medical marijuana has already been legalized in 29 states and D.C., with 12 states pending legislation. It is time for the workers’ compensation industry to embrace this new reality and learn how to incorporate the use of medicinal marijuana into claims handling where appropriate. It might surprise many to hear that there are actually advantages and improved outcomes…[Continue Reading]

Nikki Wilson: Best Practices and Partnerships Can Help Combat Opioid Misuse

Nikki Wilson

Reducing the devastating fallout from opioid-use disorder is a clear priority for the nation as well as the workers’ compensation industry. What is not always as evident is how best to reduce the risks brought by the largest drug class among injured workers. Last week, we looked at some of the stunning numbers around opioid overdoses and how we can improve management of…[Continue Reading]

Nikki Wilson: Stepping Up to Reduce Risks of Opioid Misuse and Overdose

Nikki Wilson

The worst drug overdose crisis in U.S. history is driving policymakers to declare opioid-use disorder a national emergency and to seek new ways to battle the epidemic. The workers’ compensation industry must likewise step up efforts to protect patients and better understand how the No. 1 drug class among injured workers affects return-to-work and quality of life….[Continue Reading]

Chikita Mann: Cultural Competency and the LGBTQ Injured Worker

Chikita Mann

Cultural competency has gained a stronger foothold in health care over the past decade. Still, while strategies to provide care without bias have helped reduce disparities among minority populations, the same can’t be said for those in the LGBTQ (lesbian, gay, bisexual, transgender, queer) community. At the heart of the issue is a lack of cultural understanding…[Continue Reading]

Delainne Bond: When Catastrophe Occurs, Communication is Key

Catastrophic workplace injuries present far-reaching complexities that go beyond severity of injury, making these cases at-risk for claim derailment. These are among the most serious and complicated workers’ comp cases involving diagnoses such as traumatic brain injury, spinal cord injury, crush injuries and amputation, burns (2nd and 3rd degree) and multiple trauma. When a critical injury occurs, the impact often has a domino effect on…[Continue Reading]

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