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OIG Audit Report Finds $888.2 Million in Overpayments for Genetic Testing Code
OIG Audit Report Finds $888.2 Million in Overpayments for Genetic Testing Code

Sarasota, FL (WorkersCompensation.com) – Let’s face it, medical billing is complicated! The regulations and payer rules change on a daily basis, and the volume of information reviewed and regulated is astounding, with incorrect claims easily […]

  • Jun 30, 2023
  • F.J. Thomas
Study Finds Disparities in Patients Having Knee Replacement in ASCs
Study Finds Disparities in Patients Having Knee Replacement in ASCs

Sarasota, FL (WorkersCompensation.com) – In 2018, the Centers for Medicare & Medicaid Services (CMS) removed Total Knee Arthroplasty (TKA) procedures, also known as total knee replacement, from the Inpatient Only List, allowing the procedures to […]

  • Jun 26, 2023
  • F.J. Thomas
Generic Drug Shortages May Be Ahead
Generic Drug Shortages May Be Ahead

Sarasota, FL (WorkersCompensation.com) – The Drug Competition Action Plan was implemented in 2017 in a bid to remove barriers to generic drug development and marketing. The Office of Generic Drugs, a department within the Food […]

  • Jun 22, 2023
  • F.J. Thomas
Recent John Hopkins Study Shows Quality Reporting Cost of Over $5 Million in One Year
Recent John Hopkins Study Shows Quality Reporting Cost of Over $5 Million in One Year

Sarasota, FL (WorkersCompensation.com) – Administrative tasks and reporting are taking up a bigger portion of healthcare expenditures. According to a 2018 study, researchers estimated the costs of billing and insurance-related duties at around 3 to […]

  • Jun 15, 2023
  • F.J. Thomas
A Deeper Look at Utilizing Generic Drugs in Workers’ Comp 
A Deeper Look at Utilizing Generic Drugs in Workers’ Comp 

Contributing Author: Cameron Hannum, Pharm.D., Sr. Clinical Account Pharmacist, Enlyte According to JAMA, the Journal of the American Medical Association, during a ten-year period branded pharmaceutical products in the U.S. increased 159% by list price […]

  • Jun 01, 2023
  • Cameron Hannum
New Legislation Proposes Tying Physician Reimbursement to Inflation
New Legislation Proposes Tying Physician Reimbursement to Inflation

Sarasota, FL (WorkersCompensation.com) – Medicare rates and updates drive the workers compensation industry on multiple levels, from payer rules, to reimbursement structures for procedures and drugs. While Medicare issues corrections and changes every year, the […]

  • May 22, 2023
  • F.J. Thomas
Case Management Focus: The Life-Long Impact of a Catastrophic Injury on the Worker
Case Management Focus: The Life-Long Impact of a Catastrophic Injury on the Worker

Sarasota, FL (WorkersCompensation.com) -- As a case manager, I have worked with several people who sustained catastrophic injuries. My role was to help them work through the system, settle them with needed resources, and close […]

  • May 17, 2023
  • Anne Llewellyn
Recent Nurse Study Suggests Bright Light Exposure May Reduce Fatigue, Error
Recent Nurse Study Suggests Bright Light Exposure May Reduce Fatigue, Error

Sarasota, FL (WorkersCompensation.com) – Working night shifts can play havoc on worker’s sleep. Some studies have suggested that the most consistent effects of sleep deprivation is reduced attention, as well as reduced sustained attention, resulting […]

  • May 15, 2023
  • F.J. Thomas
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