Pennsylvania Supreme: Non-Treating Providers May Not Intervene in Utilization Review December 23, 2021 By Jim Sams In Pennsylvania, if an insurer contends that a medical service, drug or device is unnecessary, it must resolve the dispute...
The Power of Streamlined IT Investment: Simplifying Claims Technology Implementation July 15, 2019 By Shahin Hatamian In the past decade or so, the world has undergone tremendous technological transformation. For example, in 2008, only 139 million...
7 Technology Features to Look For In a Medical Management Software Platform December 4, 2018 By Stacey Jefferson, director, Product Management, Medical Management, Mitchell Casualty Solutions As medical costs continue to rise, workers’ compensation payors are looking for methods to identify expenses that can be controlled...
The Art of Creating a Physician Peer Review Panel, Part I October 1, 2018 By Karen Atkins and Jackie Payne, Mitchell Creating a physician peer review panel is like solving a puzzle – it comes together only after reviewing the landscape,...
California High Court Decision Limits Workers Right to Sue August 25, 2018 The California Supreme Court on Thursday sided with employers in a fight over the right of workers to sue over...
Cost Control and the Role of Precertification and Utilization Review in Workers’ Comp June 25, 2018 By Jackie Payne, VP of Medical Management Services, Mitchell Casualty Solutions Group Medical expenses, now averaging well over 60 percent of average claims costs, according to a 2014 Lockton whitepaper, represent a...
California Workers’ Comp IMR Volume Fell Slightly in 2017, Outcomes Held Steady March 15, 2018 New data on the Independent Medical Review (IMR) process used to resolve California workers’ comp medical disputes show that IMR...
Oft Criticized Utilization Review in Workers’ Comp Not Just About Savings April 27, 2016 While critics say utilization review (UR) in workers’ compensation claims is nothing more than a cost savings mechanism, an industry...
Early Lower Back MRIs May Lead to Longer, Costly and Unneeded Treatment August 20, 2014 Inappropriate early use of Magnetic Resonance Imaging (MRI) to diagnose work-related lower back pain correlates with higher medical costs, unnecessary...